Active NPI
Nathan Rosso, PA-C
- Physician Assistant
- Odessa, TX
National Provider Identifier
1750808341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11365
- Practice address
- 4040 Medical Park Dr
Odessa, TX 79765-2233 - Phone
- (432) 333-6603
- NPI assigned
- Aug 24, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | PA11365 | TX | |
| Physician Assistant | 363A00000X | PA11365 | TX | Primary |
Addresses
Primary practice location
4040 Medical Park Dr
Odessa, TX 79765-2233
Mailing address
4040 Medical Park Dr
Odessa, TX 79765-2233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4040 Medical Park Dr
Odessa, TX 79765-2233
Phone (432) 217-0344
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.8 of 100
- Promoting interoperability
- 88
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- nathan.rosso@qdp.emadirect.md
- rosson@pinnacleskin.emadirect.md
Organizations & group practices 1
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": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1750808341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 MEDICAL PARK DR",
"city": "ODESSA",
"state": "TX",
"postal_code": "797652233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 MEDICAL PARK DR",
"city": "ODESSA",
"state": "TX",
"postal_code": "797652233",
"telephone_number": "432-333-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSO",
"first_name": "NATHAN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-24",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "PA11365",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA11365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.