Individual provider Active NPI

Madison Haley Rosin, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1922884121
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2925 Debarr Rd Ste 300
Anchorage, AK 99508-2974
Phone
(907) 279-3155
Fax
(907) 279-3154
NPI assigned
Sep 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2925 Debarr Rd Ste 300
Anchorage, AK 99508-2974

Mailing address

2925 Debarr Rd Ste 300
Anchorage, AK 99508-2974
Phone (907) 279-3155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AOH@directaddress.net Alaska Oncology and Hematology LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20231229000003 AK Practitioner - Physician Assistant 5092165308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Alaska Oncology and Hematology LLCGroup PAC ID 0648265090, 6 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Suite 150
Eagle River, AK 99577-8078
Phone (907) 694-8085

2925 Debarr Rd
Suite 300
Anchorage, AK 99508-2974
Phone (907) 279-3155

Hospital & facility affiliations

National Provider Directory

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

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.

Hospital & facility affiliations 3

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": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1922884121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 DEBARR RD STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082974",
            "telephone_number": "907-279-3155",
            "fax_number": "907-279-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 DEBARR RD STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082974",
            "telephone_number": "907-279-3155",
            "fax_number": "907-279-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSIN",
        "first_name": "MADISON",
        "middle_name": "HALEY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AOH@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Alaska Oncology and Hematology LLC",
            "address_1": "2925 DeBarr Rd Ste 300",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995082974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.