KAREN S. ROTH ANP-BC, ACHPN
NPI 1093714784
Nurse Practitioner - Adult Health in Newark, NY
About Karen S. Roth Anp-bc, Achpn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN S. ROTH ANP-BC, ACHPN (NPI 1093714784) is an individual adult health provider in Newark, New York, licensed in New York (F300625) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Karen S. Roth Anp-bc, Achpn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Karen Roth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clifton Springs, NY 14432
- Reassigned Medicare billing, New York enrollment
- 1,030 clinicians in this Medicare group
Clifton Springs, NY 14432
- Reassigned Medicare billing, New York enrollment
- 872 clinicians in this Medicare group
Sodus, NY 14551
- Reassigned Medicare billing, New York enrollment
- 2,285 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14513 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.
Referred Medical Equipment & Supplies CMS DME claims 9
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Karen Roth's NPI number?
The NPI number for Karen Roth is 1093714784. It was assigned to this individual provider in the NPPES registry on July 15, 2005.
Where is Karen Roth located?
Karen Roth practices at 1208 Driving Park Ave, Newark, NY 14513. The listed phone number is (315) 359-2640.
What is Karen Roth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Karen Roth enrolled in Medicare?
Yes. Karen Roth is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Karen Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Roth reassigns Medicare benefits to 3 organizations: Western New York Medical Practice PC (Clifton Springs, NY), Clifton Springs Sanitarium Co (Clifton Springs, NY) and Rochester General Hospital (Sodus, NY). 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 Karen Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Karen Roth was last updated on March 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Karen S. Roth, ANP-BC, ACHPN · NPI 1093714784
Adult Health physician in Newark, New York. Individual provider, active in the CMS NPPES registry since July 15, 2005.
## Identity
- **NPI:** 1093714784 (Entity type: Individual)
- **Enumerated:** July 15, 2005
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F300625 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1208 DRIVING PARK AVE, Newark, NY 14513-1057
- **Phone:** (315) 359-2640
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Western New York Medical Practice PC (NPI 1588060149, Clifton Springs, NY); Clifton Springs Sanitarium Co (NPI 1366505463, Clifton Springs, NY); Rochester General Hospital (NPI 1821163718, Sodus, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2009
- **Other identifiers:** Medicare PIN POO674192 (NY); Medicare PIN J400000753 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1093714784) · Data from the CMS NPPES public registry.