CHRISTINE SUE ROTH CRNA
NPI 1114972858
Nurse Anesthetist, Certified Registered in Decorah, IA

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
901 MONTGOMERY ST, DECORAH, IA 52101(563) 382-2911(563) 387-3102 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Jan 11, 2018 (2 updates tracked since 2018).

About Christine Sue Roth Crna NPPES

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

CHRISTINE SUE ROTH CRNA (NPI 1114972858) is an individual nurse anesthetist, certified registered in Decorah, Iowa, licensed in Iowa (D102488) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Divine Savior Healthcare, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1114972858
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCHRISTINE SUE ROTHCredential: CRNA
Location Address901 MONTGOMERY STDecorah, IA 52101-2325
Mailing Address901 Montgomery StDecorah, IA 52101-2325 · (563) 382-2911 · Fax (563) 387-3102
Fax(563) 387-3102
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1114972858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IA · D102488
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
901 MONTGOMERY ST, Decorah, IA 52101

Other Names 1

Former Name (1)Christine Sue Sims Crna

Secondary Practice Location 1

Location 1744 S Webster AveGreen Bay, WI 54301-3504 · Phone (920) 433-3605 · Fax (920) 433-3589

Other Identifiers 1

Medicaid1114972858IA

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

Christine Sue Roth Crna 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 ID2769494954
PECOS Enrollment IDI20150909003007
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

6

Medicare enrollment records show Christine Roth reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
507 S MAIN ST
Viroqua, WI 54665
  • Reassigned Medicare billing, Wisconsin enrollment
  • 127 clinicians in this Medicare group
Critical Access
333 E 2ND ST
Richland Center, WI 53581
  • Reassigned Medicare billing, Wisconsin enrollment
  • 10 clinicians in this Medicare group
Critical Access
501 GOPHER DR
Tomah, WI 54660
  • Reassigned Medicare billing, Wisconsin enrollment
  • 249 clinicians in this Medicare group
General Acute Care Hospital
2817 NEW PINERY RD
Portage, WI 53901
  • Reassigned Medicare billing, Wisconsin enrollment
  • 359 clinicians in this Medicare group
Anesthesiology
1410 N 4TH ST
Clinton, IA 52732
  • Reassigned Medicare billing, Iowa enrollment
  • 31 clinicians in this Medicare group
Anesthesiology
19333 W NORTH AVE
Brookfield, WI 53045
  • Reassigned Medicare billing, Wisconsin enrollment
  • 210 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

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Divine Savior Healthcare

Acute Care Hospitals · Portage, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520041
Location2817 New Pinery RoadPortage, WI 53901 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52101 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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 20

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

Obstetrics & Gynecology
901 MONTGOMERY ST
DECORAH, IA 52101
Family Medicine
901 MONTGOMERY ST
DECORAH, IA 52101
Registered Nurse (Diabetes Educator)
901 MONTGOMERY ST
DECORAH, IA 52101
Specialist/Technologist (Athletic Trainer)
901 MONTGOMERY ST, REHABILITATION SERVICES
DECORAH, IA 52101
Specialist/Technologist (Athletic Trainer)
901 MONTGOMERY ST
DECORAH, IA 52101
Audiologist-Hearing Aid Fitter
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Anesthetist, Certified Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Registered Nurse (Emergency)
901 MONTGOMERY ST
DECORAH, IA 52101

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 Christine Roth's NPI number?

The NPI number for Christine Roth is 1114972858. It was assigned to this individual provider in the NPPES registry on May 23, 2006. The provider is also known as Christine Sue Sims Crna.

Where is Christine Roth located?

Christine Roth practices at 901 Montgomery St, Decorah, IA 52101. The listed phone number is (563) 382-2911.

What is Christine Roth's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Christine Roth enrolled in Medicare?

Yes. Christine 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.

Which organizations bill Medicare for Christine Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christine Roth reassigns Medicare benefits to 6 organizations: Vernon Memorial Healthcare, Inc. (Viroqua, WI), Richland Hospital (Richland Center, WI), Tomah Memorial Hospital Inc (Tomah, WI), Divine Savior Healthcare, Inc. (Portage, WI), Mercy Clinton Anesthesia Group LLC (Clinton, IA) and 1 more organization, listed in the Medicare section above. 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 Christine Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christine Roth accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Christine Roth 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 Christine Roth affiliated with any hospitals?

According to CMS data, Christine Roth is affiliated with Divine Savior Healthcare.

When was this NPI record last updated?

The NPPES record for Christine Roth was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.