NPIMap

Individual provider Active NPI

Darci Rossiter, PA-C

  • Medical Physician Assistant
  • Greeley, CO
National Provider Identifier
1427413392
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0004503 Issued in CO
Practice address
1175 58TH Ave
Suite 200
Greeley, CO 80634-4807
Phone
(970) 495-0444
NPI assigned
Dec 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0004503 CO Primary

Addresses

Primary practice location

1175 58TH Ave
Suite 200
Greeley, CO 80634-4807

Mailing address

1175 58TH Ave
Suite 200
Greeley, CO 80634-4807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170130000314 CO Practitioner - Physician Assistant 6103108055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Anesthesia Professional Consultants LLPGroup PAC ID 2860474228, 5 clinicians

Practice addresses (Care Compare)

1175 58TH Ave
Suite 200
Greeley, CO 80634-4808
Phone (970) 495-0444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0004503COMDMedical Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1427413392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 58TH AVE",
            "address_2": "SUITE 200",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 58TH AVE",
            "address_2": "SUITE 200",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344807",
            "telephone_number": "970-495-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSITER",
        "first_name": "DARCI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "0004503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.