Individual provider Active NPI

Elizabeth Judy Rossetti, PA-C

  • Medical Physician Assistant
  • Richford, VT
National Provider Identifier
1700042280
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
055-0031178 Issued in VT
Practice address
44 Main St
#200
Richford, VT 05476-1153
Phone
(802) 255-5000
Fax
(802) 255-5599
NPI assigned
Aug 4, 2008
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4222 AZ
Medical Physician Assistant 363AM0700X 055-0031178 VT Primary

Addresses

Primary practice location

44 Main St
#200
Richford, VT 05476-1153

Mailing address

74 Pleasant St
Ste 204
New London, NH 03257-5881
Phone (802) 448-8205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20140515001695 VT Practitioner - Physician Assistant 1951469428 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4222AZMDVeterinarian
055-0031178VTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Hospital, Inc CurrentSince Jan 1, 2023 Accepting new patients
Copley Hospital, Inc CurrentSince Feb 1, 2021 Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital Inc Current Accepting new patients
Copley Hospital, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Mydoctor LLC Past Accepting new patients
The Richford Health Center Inc Past Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients
The Richford Health Center Inc Past Accepting new patients
Vishal Chaurasia MD PC Past Accepting new patients

Locations

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

528 Washington Hwy
Ofc
Morrisville, VT 05661

189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569

Organizations & group practices 11

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1700042280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 PLEASANT ST",
            "address_2": "STE 204",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575881",
            "telephone_number": "802-448-8205",
            "fax_number": "802-448-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MAIN ST",
            "address_2": "#200",
            "city": "RICHFORD",
            "state": "VT",
            "postal_code": "054761153",
            "telephone_number": "802-255-5000",
            "fax_number": "802-255-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSETTI",
        "first_name": "ELIZABETH",
        "middle_name": "JUDY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4222",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VT",
            "license": "055-0031178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richford, VT

Sources for this page

Verify at the official NPI Registry.