1. Home
  2. Directory
  3. Connecticut
  4. West Hartford
  5. Nurse Practitioner
  6. NPI Profile

SEMONE SABRINA ROACH APRN
NPI 1114201118
Nurse Practitioner - Pediatrics in West Hartford, CT

Active since October 10, 2011PECOS Enrolled
1162 NEW BRITAIN AVE, WEST HARTFORD, CT 06110(860) 236-3084(860) 561-5961 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Semone Sabrina Roach Aprn NPPES

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

SEMONE SABRINA ROACH APRN (NPI 1114201118) is an individual pediatrics provider in West Hartford, Connecticut, licensed in Connecticut (004767) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114201118
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSEMONE SABRINA ROACHCredential: APRN
Location Address1162 NEW BRITAIN AVEWest Hartford, CT 06110-2410
Mailing Address1162 New Britain AveWest Hartford, CT 06110-2410 · (860) 236-3084 · Fax (860) 561-5961
Phone(860) 236-3084
Fax(860) 561-5961
Sole ProprietorNo
Enumeration DateOctober 10, 2011
Last NPPES UpdateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1114201118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CT · 004767
1162 NEW BRITAIN AVE, West Hartford, CT 06110
Open in Google Maps ↗

Other Identifiers 2

Medicaid008034903CT
OtherP4428347CT · Oxford-united Healthcare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Semone Sabrina Roach Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06110 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 4

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

PERSIS THOMAS MD
Pediatrics
1162 NEW BRITAIN AVE
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 236-3084
CHITRALAKA RAMANAN MD
Pediatrics
1162 NEW BRITAIN AVE
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 236-3084
ISHRAT QUADRI MD
Pediatrics
1162 NEW BRITAIN AVE
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 236-3084
SRIMATHI BALAKRISHNA MD
Pediatrics
1162 NEW BRITAIN AVE
W HARTFORD, CT 06110
Capitol Planning Region (860) 236-3084

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 Semone Roach's NPI number?

The NPI number for Semone Roach is 1114201118. It was assigned to this individual provider in the NPPES registry on October 10, 2011.

Where is Semone Roach located?

Semone Roach practices at 1162 New Britain Ave, West Hartford, CT 06110. The listed phone number is (860) 236-3084.

What is Semone Roach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Semone Roach enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Semone Roach was last updated on June 22, 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.