Individual provider Active NPI

Antonina Rose Rodrigues, PA-C

  • Physician Assistant
  • New Castle, PA
National Provider Identifier
1629611827
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024261 Issued in NY
Practice address
26 Nesbitt Rd Ste 102
New Castle, PA 16105-3417
Phone
(724) 698-1040
NPI assigned
Oct 21, 2019
Last updated
Jul 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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 024261 NY Primary

Addresses

Primary practice location

26 Nesbitt Rd Ste 102
New Castle, PA 16105-3417

Mailing address

316 Kerry CT
Cranberry TWP, PA 16066-2310
Phone (724) 814-0047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202000718 OH Practitioner - Physician Assistant 1850795998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1404 Park Ave W
Mansfield, OH 44906-2633

600 W 3Rd St
Mansfield, OH 44906-2633
Phone (419) 522-6191

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Third Street Community Clinic, Inc CurrentSince Feb 2, 2026 Accepting new patients
Third Street Community Clinic, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Bethpage Medical, PLLC PastSince Oct 1, 2019 Accepting new patients
Ocean Perinatology PLLC PastSince Oct 1, 2019 Accepting new patients

Locations

770 Balgreen Dr
Ste 207
Mansfield, OH 44906
Phone (419) 522-6800

1404 Park Ave W
Ste 2
Ontario, OH 44906

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1629611827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 KERRY CT",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160662310",
            "telephone_number": "724-814-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 NESBITT RD STE 102",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053417",
            "telephone_number": "724-698-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "ANTONINA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.