MR. NATHAN ROSSO (PA-C) – Physician Assistant, NPI 1750808341

MR. NATHAN ROSSO (PA-C) is a healthcare provider. based in Odessa, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA11365 (TX). The NPI Number for MR. NATHAN ROSSO (PA-C) is 1750808341

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. NATHAN ROSSO (PA-C)
NPI
1750808341
Phone
Not provided
Address
4040 MEDICAL PARK DR
Enumeration Date
24 August 2017
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4322170344
Graduation Year
2017 (9 years ago)
PAC ID
6103186564
Group Practice PAC ID
8628353380
Professional Enrollment ID
I20180202000207
Address ID
TX797652233OD4040XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MR. NATHAN ROSSO (PA-C)

  • Medical Park Drive, Sedona Ranch Apartments, Mission, Odessa, Midland County, Texas, 79765, United States

    ODESSA, TX 797652233

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 465 Open Payments records for all available years, with a total value of $10,092.

Total Amount is formed as General ($10,092) + Research ($0) + Ownership ($0) = $10,092.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($1,582).

Total Amount

$10,092

General + Research + Ownership

Payments

465

Total payment records

General Amount

$10,092

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-02-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180202000207IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths594156$0
99213Established patient office or other outpatient visit, 20-29 minutes540459$0
17110Destruction of skin growth, 1-14 growths237208$0
17000Destruction of precancer skin growth, 1 growth236211$0
11102Biopsy of related skin growth, first growth202181$0
View full utilization report →

Insurance plans in this area (ZIP 79765)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628353380View full group profile
NameSpecialtyState
-MI
D E R M A T O L O G YTX
Dermatology, Dermatology, PathologyVA
Physician AssistantMN
Plastic And Reconstructive SurgeryIL
Nurse PractitionerMI
D E R M A T O L O G YAZ
Physician AssistantMN
Physician AssistantIN
-IN

Reviews

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Frequently asked questions

What federal number belongs to MR. NATHAN ROSSO (PA-C)?
The federal identifier for MR. NATHAN ROSSO (PA-C) is NPI 1750808341.
Does this profile mean MR. NATHAN ROSSO (PA-C) is currently active?
Yes — MR. NATHAN ROSSO (PA-C) appears active in the national provider directory.
What field does MR. NATHAN ROSSO (PA-C) work in?
You can think of MR. NATHAN ROSSO (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. NATHAN ROSSO (PA-C)?
The page summarizes Odessa, Texas for MR. NATHAN ROSSO (PA-C); expand the address list for detail.
How can I contact MR. NATHAN ROSSO (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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