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KELLY ROSES
NPI 1962070995
Physician Assistant in Staten Island, NY

Active since June 15, 2021PECOS EnrolledAccepts Medicare Assignment
96 EDGEGROVE AVE, STATEN ISLAND, NY 10312(718) 696-7717 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 5, 2023, Dec 15, 2021, Jun 15, 2021 (3 updates tracked since 2021).

About Kelly Roses NPPES

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

KELLY ROSES (NPI 1962070995) is an individual physician assistant in Staten Island, New York and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962070995
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY ROSES
Location Address96 EDGEGROVE AVEStaten Island, NY 10312-3312
Mailing Address96 Edgegrove AveStaten Island, NY 10312-3312 · (718) 696-7717
Phone(718) 696-7717
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 15, 2021
Last NPPES UpdateApril 18, 20233 updates tracked since enumeration
NPPES CertifiedApril 18, 2023
✔ NPI 1962070995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 1364201191 (NY)
Also ListedSpecialistTaxonomy 174400000X
96 EDGEGROVE AVE, Staten Island, NY 10312
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Kelly Roses 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 ID3870948896
PECOS Enrollment IDI20240514003558
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.
13 services13 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10312 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Kelly Roses's NPI number?

The NPI number for Kelly Roses is 1962070995. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Where is Kelly Roses located?

Kelly Roses practices at 96 Edgegrove Ave, Staten Island, NY 10312. The listed phone number is (718) 696-7717.

What is Kelly Roses's specialty?

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

Is Kelly Roses enrolled in Medicare?

Yes. Kelly Roses 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.

What insurance does Kelly Roses accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kelly Roses as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Roses affiliated with any hospitals?

According to CMS data, Kelly Roses is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Roses was last updated on April 18, 2023. 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.