Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carri L Ross, PA

Individual provider Medical Physician Assistant · NPI 1124009261

Carri L Ross, PA is a Physician Assistant in Vestal, New York. Qualified in 2003, 23 years ago. Practices with New Season Dermatology PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4104 Vestal Rd Vestal Executive Park Ste 203
Vestal, NY 13850-3500
Phone: (607) 797-9036
Fax: (607) 798-0601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 009577-1 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0095771 (NY)

Record details

NPI number1124009261
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 7, 2005
Last updated in NPPESApril 28, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice New Season Dermatology Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vestal