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

Individual provider Medical Physician Assistant · NPI 1356621478

MS. Crystal Rose, PA is a Physician Assistant in Hartford, Connecticut. Qualified in 2011, 15 years ago. Practices with Hartford Hospital, a 1,040-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
15
Licensed in
CT
In the registry since
2011
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

80 Seymour Street Hartford Hospital ER Dept
Hartford, CT 06102-5037
Phone: (860) 972-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 263 Farmington Avenue, Farmington, CT 06030-0001 — (860) 679-7514

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2640 (CT)

Record details

NPI number1356621478
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 20, 2011
Last updated in NPPESNovember 5, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Hartford Hospital — 1040 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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