NPIMap

Individual provider Active NPI

Rosanna Paknoush, FNP

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1750880142
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342667 Issued in NY
Practice address
7038 Nansen St
Forest Hills, NY 11375-5856
Phone
(718) 544-1317
NPI assigned
Feb 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F342667 NY
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 342667 NY Primary

Addresses

Primary practice location

7038 Nansen St
Forest Hills, NY 11375-5856

Mailing address

7038 Nansen St
Forest Hills, NY 11375-5856
Phone (718) 544-1317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181004001294 NY Practitioner - Nurse Practitioner 5294087144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ion Oltean Physician PCGroup PAC ID 6406990860, 8 clinicians

Practice addresses (Care Compare)

22 Robert R Kasin Way
Beacon, NY 12508-1559
Phone (845) 831-8704

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.73 of 100Reported as group
Quality
88.19
Improvement activities
40
Cost
64.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F342667NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ion Oltean Physician PC Single Specialty CurrentSince Aug 4, 2019 Accepting new patients
Rosanna Family Health Nurse Practitioner PC Single Specialty Current Accepting new patients
Upstate Geriatric Medical Services PC Single Specialty CurrentSince Jun 22, 2021 Accepting new patients
Yertle Operations LLC Past Accepting new patients
Sapphire Nursing at Wappingers LLC Past Accepting new patients

Locations

22 Robert R Kasin Way
Beacon, NY 12508
Phone (845) 231-5792

13966 35th Ave
Flushing, NY 11354
Phone (718) 961-5300

7915 Metropolitan Ave
Middle Vlg, NY 11379
Phone (516) 806-2544

Interoperability endpoints

  • Direct secure messaging: valhallavitality.rosannapaknoush@155299.advancedmd-direct.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1750880142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7038 NANSEN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755856",
            "telephone_number": "718-544-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7038 NANSEN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755856",
            "telephone_number": "718-544-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKNOUSH",
        "first_name": "ROSANNA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F342667",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.