Active NPI
Victoria Rossi, PA-C
- Physician Assistant
- Kingman, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7039
- Practice address
- 3801 Santa Rosa Dr
Kingman, AZ 86401 - Phone
- (928) 263-3516
- Fax
- (928) 263-5298
- NPI assigned
- Jan 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7039 | AZ | Primary |
Addresses
Primary practice location
3801 Santa Rosa Dr
Kingman, AZ 86401
Mailing address
1739 E Beverly Ave Ste 200
Kingman, AZ 86409-3593
Phone (928) 263-4722
Other practice location 1
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101
Other practice location 2
3801 Santa Rosa Dr
Kingman, AZ 86401
Phone (928) 263-3516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180403000245 | AZ | Practitioner - Physician Assistant | 1052673092 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kingman Healthcare Inc
Practice addresses (Care Compare)
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 263-4722
3801 Santa Rosa Dr
Kingman, AZ 86401-2311
Hospital & facility affiliations
- Kingman Regional Medical Center
- Havasu Regional Medical Center
- Valley View Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.85 of 100
- Quality
- 84.49
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 79.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Physician Assistant | Past | Accepting new patients |
Locations
1739 E Beverly Ave
Ste 102
Kingman, AZ 86409
Phone (928) 681-8693
1739 E Beverly Ave
Ste 200
Kingman, AZ 86409
Phone (928) 263-4722
3801 Santa Rosa Dr
Ste 302
Kingman, AZ 86401
3801 Santa Rosa Dr
Ste 104
Kingman, AZ 86401
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
3801 Santa Rosa Dr
Kingman, AZ 86401
Phone (928) 263-5000
Interoperability endpoints
- rossi.victoria@direct.azkrmc.md
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.
-
- Community/Retail Pharmacy
- Kingman, AZ
- NPI 1992286298
-
- Urgent Care Clinic/Center
- Kingman, AZ
- NPI 1760703805
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1689172629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1739 E BEVERLY AVE STE 200",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093593",
"telephone_number": "928-263-4722",
"fax_number": "928-263-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SANTA ROSA DR",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "86401",
"telephone_number": "928-263-3516",
"fax_number": "928-263-5298"
}
],
"practiceLocations": [
{
"address_1": "3269 N Stockton Hill Rd",
"address_purpose": "LOCATION",
"city": "Kingman",
"state": "AZ",
"postal_code": "864093619",
"country_code": "US",
"telephone_number": "928-757-2101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3801 Santa Rosa Dr",
"address_purpose": "LOCATION",
"city": "Kingman",
"state": "AZ",
"postal_code": "86401",
"country_code": "US",
"telephone_number": "928-263-3516",
"fax_number": "928-263-5298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSSI",
"first_name": "VICTORIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "7039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.