MISS NICOLETTE LAROSA PA-C
NPI 1497389621
Physician Assistant in Philadelphia, PA

Active since February 26, 2020PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 SPRUCE STREET, 3 RAVDIN BLDG STE F, PHILADELPHIA, PA 19104(215) 662-3202(215) 349-8432 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 11, 2022, Feb 26, 2020 (2 updates tracked since 2020).

About Miss Nicolette Larosa Pa-c NPPES

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

MISS NICOLETTE LAROSA PA-C (NPI 1497389621) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA062445) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Camden.

NPPES Registry Identity

NPI1497389621
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS NICOLETTE LAROSACredential: PA-C
Location Address3400 SPRUCE STREET, 3 RAVDIN BLDG STE FPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce Street, 3 Ravdin Bldg Ste FPhiladelphia, PA 19104-4206 · (215) 662-3202 · Fax (215) 349-8432
Fax(215) 349-8432
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 26, 2020
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
NPI 1497389621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in PA · MA062445 Licensed in NJ · 25MP00670900
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.

3400 SPRUCE STREET, Philadelphia, PA 19104

Secondary Practice Location 1

Location 11 Cooper PlzCamden, NJ 08103-1461 · Phone (888) 499-8779

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

Miss Nicolette Larosa 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 ID6709285760
PECOS Enrollment IDI20210524001408, I20250505002404
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.

Hospital Affiliations CMS Care Compare 3

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
3400 SPRUCE STREET, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
3400 SPRUCE STREET, 6 SILVERSTEIN
PHILADELPHIA, PA 19104
Physical Medicine & Rehabilitation
3400 SPRUCE STREET, 1 GROUND WHITE BUILDING
PHILADELPHIA, PA 19104
Nuclear Medicine
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Internal Medicine
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Urology
3400 SPRUCE STREET, 9 PENN TOWER
PHILADELPHIA, PA 19104
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Surgery
3400 SPRUCE STREET, 4 SILVERSTEIN
PHILADELPHIA, PA 19104

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 Nicolette Larosa's NPI number?

The NPI number for Nicolette Larosa is 1497389621. It was assigned to this individual provider in the NPPES registry on February 26, 2020.

Where is Nicolette Larosa located?

Nicolette Larosa practices at 3400 Spruce Street 3 Ravdin Bldg Ste F, Philadelphia, PA 19104. The listed phone number is (215) 662-3202.

What is Nicolette Larosa's specialty?

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

Is Nicolette Larosa enrolled in Medicare?

Yes. Nicolette Larosa 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 Nicolette Larosa affiliated with any hospitals?

According to CMS data, Nicolette Larosa is affiliated with Cooper University Hospital, Hospital Of Univ Of Pennsylvania and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Nicolette Larosa was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.