NPIMap

Individual provider Active NPI

Virginia Rose Mike, PA

  • Physician Assistant
  • Littleton, NH
National Provider Identifier
1538464490
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0811 Issued in NH
Practice address
600 Saint Johnsbury Rd
Littleton, NH 03561-3442
Phone
(603) 444-9565
NPI assigned
Jan 24, 2011
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0811 NH Primary

Addresses

Primary practice location

600 Saint Johnsbury Rd
Littleton, NH 03561-3442

Mailing address

600 Saint Johnsbury Rd
Littleton, NH 03561-3442
Phone (603) 444-9565

Other identifiers 1

IdentifierTypeStateIssuer
3071867MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110413000787 NH Practitioner - Physician Assistant 1254515380 Reassigns benefits to 2 organizations
I20240717000987 MT Practitioner - Physician Assistant 1254515380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Littleton Hospital AssociationGroup PAC ID 6901796556, 111 clinicians

Practice addresses (Care Compare)

1095 Profile Rd
Franconia, NH 03580-4938
Phone (603) 823-8600

600 Saint Johnsbury Rd
Littleton, NH 03561-3442
Phone (603) 444-9000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association CurrentSince Apr 11, 2016 Accepting new patients
Littleton Hospital Association CurrentSince Apr 11, 2016 Accepting new patients
Speare Memorial Hospital Past Accepting new patients

Locations

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

Organizations & group practices 5

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

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1538464490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SAINT JOHNSBURY RD",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613442",
            "telephone_number": "603-444-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SAINT JOHNSBURY RD",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613442",
            "telephone_number": "603-444-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKE",
        "first_name": "VIRGINIA",
        "middle_name": "ROSE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071867",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.