MRS. PAULA BETH ROACH RN CNNP
NPI 1003889965
Nurse Practitioner - Pediatrics, Critical Care in Fort Bragg, NC

Active since February 10, 2006PECOS Enrolled
BLDG 4-2817 REILLY ROAD, FORT BRAGG, NC 28310(910) 907-7626(910) 907-8645 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 2, 2024, May 25, 2022 (2 updates tracked since 2022).

About Mrs. Paula Beth Roach Rn Cnnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PAULA BETH ROACH RN CNNP (NPI 1003889965) is an individual pediatrics, critical care provider in Fort Bragg, North Carolina, licensed in North Carolina (930054) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003889965
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameMRS. PAULA BETH ROACHCredential: RN CNNP
Location AddressBLDG 4-2817 REILLY ROADFort Bragg, NC 28310-0001
Mailing Address4304 Cricklewood StLumberton, NC 28358-2405 · (910) 671-9289
Fax(910) 907-8645
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1003889965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in NC · 930054
Also ListedNurse PractitionerTaxonomy 363L00000X · License 930054 (NC)
Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License 930054 (NC)
BLDG 4-2817 REILLY ROAD, Fort Bragg, NC 28310

Secondary Practice Locations 2

Location 1300 W 27th StLumberton, NC 28358-3075 · Phone (910) 671-5000
Location 22131 S 17th StWilmington, NC 28401-7407 · Phone (910) 667-4620 · Fax (910) 667-4639

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Paula Beth Roach Rn Cnnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Paula Roach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
190 ROSEWOOD CENTRE DR, SUITE 100
Holly Springs, NC 27540
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • 2,998 clinicians in this Medicare group
Family Medicine
7910 US HWY 117 S UNIT 120
Rocky Point, NC 28457
  • Reassigned Medicare billing, North Carolina enrollment
  • 710 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Neonatal, Critical Care)
BLDG 4-2817 REILLY ROAD, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paula Roach's NPI number?

The NPI number for Paula Roach is 1003889965. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Paula Roach located?

Paula Roach practices at Bldg 4-2817 Reilly Road, Fort Bragg, NC 28310. The listed phone number is (910) 907-7626.

What is Paula Roach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Paula Roach enrolled in Medicare?

Yes. Paula Roach is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paula Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Roach reassigns Medicare benefits to 2 organizations: Novant Medical Group, Inc (Holly Springs, NC) and Novant Health Medical Group Coastal Region, LLC (Rocky Point, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paula Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paula Roach accept?

Health plans from Blue Cross and Blue Shield of NC list Paula Roach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paula Roach was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.