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DR. NICHOLE A ROSA CRNP
NPI 1194804815
Nurse Practitioner - Family in New Milford, PA

Active since November 03, 2006PECOS Enrolled
433 CHURCH ST, NEW MILFORD, PA 18834(570) 465-4500(570) 465-4501 Get Directions Write a Review

NPPES record last updated: January 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nichole A Rosa Crnp NPPES

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

DR. NICHOLE A ROSA CRNP (NPI 1194804815) is an individual family provider in New Milford, Pennsylvania, licensed in Pennsylvania (SP009050) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194804815
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. NICHOLE A ROSACredential: CRNP
Location Address433 CHURCH STNew Milford, PA 18834-6603
Mailing Address433 Church St, P.o. Box 602New Milford, PA 18834-6603 · (570) 465-4500 · Fax (570) 465-4501
Phone(570) 465-4500
Fax(570) 465-4501
Sole ProprietorYes
Enumeration DateNovember 3, 2006
Last NPPES UpdateJanuary 7, 2013
✔ NPI 1194804815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in PA · SP009050✔ Licensed in NY · 334797
433 CHURCH ST, New Milford, PA 18834
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Other Names 1

Former Name (1)Nichole A Macconnell

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nichole A Rosa Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18834 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%107 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
85%75 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
86%106 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

BLUE RIDGE MEDICAL CENTER
Nurse Practitioner (Family)
433 CHURCH ST
NEW MILFORD, PA 18834
Susquehanna County (570) 465-4500
BARNES-KASSON COUNTY HOSPITAL
Clinic/Center (Rural Health)
433 CHURCH ST
NEW MILFORD, PA 18834
Susquehanna County (570) 465-7330
DR. PATRICK ARNOLD MACCONNELL DPM
Podiatrist
433 CHURCH ST
NEW MILFORD, PA 18834
Susquehanna County (570) 456-4500

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 Nichole Rosa's NPI number?

The NPI number for Nichole Rosa is 1194804815. It was assigned to this individual provider in the NPPES registry on November 3, 2006. The provider is also known as Nichole A Macconnell.

Where is Nichole Rosa located?

Nichole Rosa practices at 433 Church St, New Milford, PA 18834. The listed phone number is (570) 465-4500.

What is Nichole Rosa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nichole Rosa enrolled in Medicare?

Yes. Nichole Rosa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nichole Rosa was last updated on January 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.