KELLI ROTH
NPI 1023898244
Nurse Practitioner - Family in Long Island City, NY

Active since October 04, 2023PECOS EnrolledAccepts Medicare Assignment
1041 47TH AVE, LONG ISLAND CITY, NY 11101(212) 385-3700 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelli Roth NPPES

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

KELLI ROTH (NPI 1023898244) is an individual family provider in Long Island City, New York, licensed in New York (352922) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2023).

NPPES Registry Identity

NPI1023898244
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLI ROTH
Location Address1041 47TH AVELong Island City, NY 11101-5416
Mailing Address60 W 23rd St Apt 549New York, NY 10010-5285 · (908) 303-0801
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2023
Enumeration DateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
NPI 1023898244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 352922
1041 47TH AVE, Long Island City, NY 11101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelli Roth 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.

PECOS PAC ID4587190749
PECOS Enrollment IDI20241211001487
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11101 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 5

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

Physician Assistant
1041 47TH AVE
LONG ISLAND CITY, NY 11101
Physician Assistant
1041 47TH AVE
LONG ISLAND CITY, NY 11101
Physician Assistant
1041 47TH AVE
LONG ISLAND CITY, NY 11101
Physician Assistant (Medical)
1041 47TH AVE
LONG ISLAND CITY, NY 11101
Physician Assistant
1041 47TH AVE
LONG ISLAND CITY, NY 11101

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 Kelli Roth's NPI number?

The NPI number for Kelli Roth is 1023898244. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Where is Kelli Roth located?

Kelli Roth practices at 1041 47th Ave, Long Island City, NY 11101. The listed phone number is (212) 385-3700.

What is Kelli Roth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelli Roth enrolled in Medicare?

Yes. Kelli Roth 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.

When was this NPI record last updated?

The NPPES record for Kelli Roth was last updated on October 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.