NPIMap

Individual provider Active NPI

Jessica E Rosette, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1598042731
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003436 Issued in OH
Practice address
75 Remit Dr # 1056
Chicago, IL 60675-1056
Phone
(866) 916-5259
Fax
(231) 922-4030
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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 50.003436 OH Primary

Addresses

Primary practice location

75 Remit Dr # 1056
Chicago, IL 60675-1056

Mailing address

1025 Center St
Ashland, OH 44805-4011
Phone (866) 916-5259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.003436OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rainier Emergency Physicians LLC Physician Assistant Past Accepting new patients
Samaritan Emergency Physicians LLP Past Accepting new patients
Samaritan Emergency Physicians LLP Past Accepting new patients
Redner Emergency Physicians, LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1598042731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 CENTER ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054011",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 REMIT DR # 1056",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751056",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSETTE",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.