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NICOLE ROSSI PA-C
NPI 1265957260
Physician Assistant in Albany, NY

Active since August 10, 2017PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
98 WOLF RD STE 16, ALBANY, NY 12205(518) 264-9000 Get Directions Write a Review

NPPES record last updated: August 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Rossi Pa-c NPPES

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

NICOLE ROSSI PA-C (NPI 1265957260) is an individual physician assistant in Albany, New York, licensed in New York (021161) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265957260
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE ROSSICredential: PA-C
Location Address98 WOLF RD STE 16Albany, NY 12205-1226
Mailing Address98 Wolf Rd Ste 16Albany, NY 12205-1226
Phone(518) 264-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 10, 2017
✔ NPI 1265957260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 021161
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
98 WOLF RD STE 16, Albany, NY 12205
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Rossi Pa-c 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 ID7214201466
PECOS Enrollment IDI20170927000244
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12205 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
67%142 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%190 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 4

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

VALENCIA DERBIE GUILLAUME PA-C
Physician Assistant (Medical)
98 WOLF RD STE 16
ALBANY, NY 12205
Albany County (518) 264-9000
MELISSA L HETZLER FNP-BC
Nurse Practitioner (Family)
98 WOLF RD STE 16
ALBANY, NY 12205
Albany County (518) 264-9000
THOMAS JOSEPH LOUGHLIN JR. PA-C
Physician Assistant
98 WOLF RD STE 16
ALBANY, NY 12205
Albany County (518) 264-9000
ISADORA PARK PA-C
Physician Assistant
98 WOLF RD STE 16
ALBANY, NY 12205
Albany County (518) 264-9000

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 Nicole Rossi's NPI number?

The NPI number for Nicole Rossi is 1265957260. It was assigned to this individual provider in the NPPES registry on August 10, 2017.

Where is Nicole Rossi located?

Nicole Rossi practices at 98 Wolf Rd Ste 16, Albany, NY 12205. The listed phone number is (518) 264-9000.

What is Nicole Rossi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Rossi enrolled in Medicare?

Yes. Nicole Rossi 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.

Is Nicole Rossi affiliated with any hospitals?

According to CMS data, Nicole Rossi is affiliated with Albany Medical Center Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Rossi was last updated on August 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.