Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallarie Laurissa Paige Rosel, PA-C

Individual provider Physician Assistant · NPI 1235946906

Mallarie Laurissa Paige Rosel, PA-C is a Physician Assistant in Lexington, Kentucky. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2350 Regency Rd Ste A
Lexington, KY 40503-2351
Phone: (859) 278-4960
Fax: (859) 278-0033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 280 Pasadena Dr, Lexington, KY 40503-2925 — (859) 278-4960

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3698 (KY)

Record details

NPI number1235946906
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 16, 2024
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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