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ASHLEY ELIZABETH ROSSO NP
NPI 1114535937
Nurse Practitioner - Gerontology in Santa Rosa, CA

Active since July 17, 2020PECOS EnrolledAccepts Medicare Assignment
1162 MONTGOMERY DR STE 2, SANTA ROSA, CA 95405(707) 890-4100(707) 476-2237 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2022, Nov 10, 2021, May 27, 2021 and 1 more (4 updates tracked since 2020).

About Ashley Elizabeth Rosso Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY ELIZABETH ROSSO NP (NPI 1114535937) is an individual gerontology provider in Santa Rosa, California, licensed in California (95014942) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114535937
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameASHLEY ELIZABETH ROSSOCredential: NP
Location Address1162 MONTGOMERY DR STE 2Santa Rosa, CA 95405-4802
Mailing Address1162 Montgomery Dr Ste 2Santa Rosa, CA 95405-4802 · (707) 890-4100 · Fax (707) 476-2237
Phone(707) 890-4100
Fax(707) 476-2237
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 17, 2020
Last NPPES UpdateDecember 8, 20224 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1114535937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · 95014942
1162 MONTGOMERY DR STE 2, Santa Rosa, CA 95405
Open in Google Maps ↗

Secondary Practice Location 1

Location 13111 Camino Del Rio N Ste 625San Diego, CA 92108-5718 · Phone (619) 738-5566 · Fax (619) 566-0202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Elizabeth Rosso Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931524675
PECOS Enrollment IDI20200729000713
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ashley Rosso reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
33 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000
Pouya Afshar MD Inc
501 mi
Specialist
3111 CAMINO DEL RIO N STE 625
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 43 clinicians in this Medicare group
NPI 1710336094 (619) 738-5566

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH MCVAY PSY.D.
Psychologist
1162 MONTGOMERY DR STE 2
SANTA ROSA, CA 95405
Sonoma County (707) 890-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Rosso's NPI number?

The NPI number for Ashley Rosso is 1114535937. It was assigned to this individual provider in the NPPES registry on July 17, 2020.

Where is Ashley Rosso located?

Ashley Rosso practices at 1162 Montgomery Dr Ste 2, Santa Rosa, CA 95405. The listed phone number is (707) 890-4100.

What is Ashley Rosso's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Ashley Rosso enrolled in Medicare?

Yes. Ashley Rosso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ashley Rosso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Rosso reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Vallejo, CA) and Pouya Afshar MD Inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Rosso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ashley Rosso was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.