Mark David Rostash

NPI 1780222158ActiveIndividual· Nurse Practitioner, Gerontology· Lebanon, NH

Nurse Practitioner, Gerontology with Queens University Medical Group, practicing in Lebanon, New Hampshire. Medicare paid $6,189 for services to 42 patients in 2024. Lists The Queens Medical Center as a hospital affiliation.

Overview

NPI	1780222158
Status	Active
Entity type	Individual
Sole proprietor	No
NPI issued	Dec 17, 2019
Last updated in NPPES	Sep 10, 2026
Certified by provider	Sep 10, 2026

Specialties and licenses

Taxonomy	Code	License	State
Nurse Practitioner, Gerontology Primary	363LG0600X	116942-23	NH
Nurse Practitioner, Acute Care	363LA2100X	235645	AZ
Nurse Practitioner, Critical Care Medicine	363LC0200X	235645	AZ
Nurse Practitioner, Acute Care	363LA2100X	APRN-3542	HI

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Nurse Practitioner (AZ); Practitioner - Nurse Practitioner (CT); Practitioner - Nurse Practitioner (HI); Practitioner - Nurse Practitioner (NH)
Accepts assignment	Yes (participating)