WHITNEY RONDELL ROSEN (PA-C) – Physician Assistant, NPI 1093364911
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for WHITNEY RONDELL ROSEN (PA-C)
North Main Street, Springboro, Crawford County, Pennsylvania, 16435, United States
STE 140
SPRINGBORO, OH 450662100
Phone: (937) 762-5000
Type: Mailing
9049 SPRINGBORO PIKE
MIAMISBURG, OH 453424926
Phone: (937) 759-0545
Fax: (937) 759-0549
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 80 Open Payments records for all available years, with a total value of $1,254.
Total Amount is formed as General ($1,254) + Research ($0) + Ownership ($0) = $1,254.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($304).
Total Amount
$1,254
General + Research + Ownership
Payments
80
Total payment records
General Amount
$1,254
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191111001644 | I | Physician Assistant | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45066)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH |
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