GAVIN ROACHE NP
NPI 1023425600
Nurse Practitioner - Adult Health in Harrisburg, PA
About Gavin Roache Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAVIN ROACHE NP (NPI 1023425600) is an individual adult health provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP021669) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Wythe County Community Hospital, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gavin Roache Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Gavin Roache reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Harrisburg, PA 17101
- Reassigned Medicare billing, Pennsylvania enrollment
- 209 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, Virginia enrollment
- 679 clinicians in this Medicare group
Athens, WI 54411
- Reassigned Medicare billing, Wisconsin enrollment
- 376 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wythe County Community Hospital
Acute Care Hospitals · Wytheville, VAAspirus Medford Hospital & Clinics, Inc
Critical Access Hospitals · Medford, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARRISBURG, PA 17101
HARRISBURG, PA 17101
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 Gavin Roache's NPI number?
The NPI number for Gavin Roache is 1023425600. It was assigned to this individual provider in the NPPES registry on July 16, 2014.
Where is Gavin Roache located?
Gavin Roache practices at 111 S Front St, Harrisburg, PA 17101. The listed phone number is (717) 782-3131.
What is Gavin Roache's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Gavin Roache enrolled in Medicare?
Yes. Gavin Roache is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Gavin Roache's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gavin Roache reassigns Medicare benefits to 3 organizations: Pinnacle Health Emergency Department Services LLC (Harrisburg, PA), Emergency Coverage, LLC (Newport, TN) and Aspirus Medford Hospital & Clinics, Inc. (Athens, WI). 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 Gavin Roache's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gavin Roache accept?
Health plans from Anthem Blue Cross and Blue Shield and Aspirus Health Plan list Gavin Roache 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.
Is Gavin Roache affiliated with any hospitals?
According to CMS data, Gavin Roache is affiliated with Wythe County Community Hospital and Aspirus Medford Hospital & Clinics, Inc.
When was this NPI record last updated?
The NPPES record for Gavin Roache was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Gavin Roache, NP · NPI 1023425600
Adult Health physician in Harrisburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 16, 2014.
## Identity
- **NPI:** 1023425600 (Entity type: Individual)
- **Enumerated:** July 16, 2014
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** SP021669 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 S FRONT ST, Harrisburg, PA 17101-2010
- **Phone:** (717) 782-3131
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pinnacle Health Emergency Department Services LLC (NPI 1487693404, Harrisburg, PA); Emergency Coverage, LLC (NPI 1427005008, Newport, TN); Aspirus Medford Hospital & Clinics, Inc. (NPI 1760912919, Athens, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 16, 2021
- **Other identifiers:** Medicaid 016388100 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1023425600) · Data from the CMS NPPES public registry.