NPIMap

Individual provider Active NPI

Deidania E Rosado, CRNP

  • Family Nurse Practitioner
  • Newport, PA
National Provider Identifier
1902269939
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016046 Issued in PA
Practice address
300 Bretz CT
Suite 100
Newport, PA 17074-8614
Phone
(717) 567-3174
Fax
(717) 703-0018
NPI assigned
Mar 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP016046 PA Primary

Addresses

Primary practice location

300 Bretz CT
Suite 100
Newport, PA 17074-8614

Mailing address

300 Bretz CT Ste 100
Newport, PA 17074-8615
Phone (717) 567-3174

Other identifiers 1

IdentifierTypeStateIssuer
103101369MedicaidPA

Other names 1

  • Deidania E Zerance Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drosado13207@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160422001306 PA Practitioner - Nurse Practitioner 7113226382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

300 Bretz CT
Newport, PA 17074-8614
Phone (717) 567-3174

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2016 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2016 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

300 Bretz Ct
Ste 100
Newport, PA 17074
Phone (717) 567-3174

300 Bretz Ct
Newport, PA 17074
Phone (717) 567-3174

Interoperability endpoints

  • Direct secure messaging: drosado301528@upmc.direct-ci.com

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.

Hospital & facility affiliations 12

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1902269939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BRETZ CT STE 100",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748615",
            "telephone_number": "717-567-3174",
            "fax_number": "717-703-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRETZ CT",
            "address_2": "SUITE 100",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748614",
            "telephone_number": "717-567-3174",
            "fax_number": "717-703-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "DEIDANIA",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103101369",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drosado13207@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "300 Bretz Ct",
            "address_2": "Suite 100",
            "city": "Newport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170748614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEIDANIA",
            "last_name": "ZERANCE",
            "middle_name": "E",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport, PA

Sources for this page

Verify at the official NPI Registry.