Nichole A Rosa (NPI# 1194804815, PAC ID# 8921013574) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194804815 |
| PAC ID by PECOS | 8921013574 |
| Professional Enrollment ID | I20130314000290 |
| Full Name | Nichole A Rosa |
| Organization Legal Name | BLUE RIDGE MEDICAL CENTER |
| Address |
433 Church St New Milford PA 18834-6603 |
| Phone Number | 5704654500 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0143475020 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 391306 | ENDLESS MOUNTAINS HEALTH SYSTEMS |
| 391309 | BARNES-KASSON COUNTY HOSPITAL |
| 330011 | LOURDES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 433 Church St, New Milford, PA 18834-6603 | 5704654500 | BLUE RIDGE MEDICAL CENTER |
| Organization Legal Name | BLUE RIDGE MEDICAL CENTER |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William G Albert | Chiropractic | Blue Ridge Medical Center | 433 Church St, New Milford, PA 18834-6603 |
| Street Address |
433 CHURCH ST |
| City | NEW MILFORD |
| State | PA |
| Zip | 18834-6603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William G Albert | Chiropractic | Blue Ridge Medical Center | 433 Church St, New Milford, PA 18834-6603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Joseph Sheeran Iii | Clinical Social Worker | Integrative Counseling Services, PC | 52 Summit St, New Milford, PA 18834-2313 |
| Christin Marie Wetzel-tinklepaugh | Clinical Social Worker | 467 Main St, New Milford, PA 18834-2323 | |
| Glendon C Summers | Chiropractic | 266 Hall Rd, New Milford, PA 18834-6733 | |
| Pamela Brant | Occupational Therapy | 693 Main St, New Milford, PA 18834-7200 | |
| Stephen W Kielceski | Dentist | 681 Main St, New Milford, PA 18834-7200 | |
| Gerald D Evans | Chiropractic | 937 Main St, New Milford, PA 18834-7431 |
| City | NEW MILFORD |
| Zip Code | 18834 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEW MILFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nichole A Rosa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.