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

NPI Status: Active since May 23, 2006

Contact Information

901 MONTGOMERY ST
DECORAH, IA
ZIP 52101
Phone: (563) 382-2911
Fax: (563) 387-3102

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  • Individual
  • Female
  • Years of Experience 20
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About CHRISTINE ROTH

This page provides the complete NPI Profile along with additional information for Christine Roth, a provider established in Decorah, Iowa with a medical specialization in Nurse Anesthetist, Certified Registered and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1114972858 assigned on May 2006. The practitioner's primary taxonomy code is 367500000X with license number D102488 (IA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1114972858
Provider Name
CHRISTINE SUE ROTH CRNA
Other Name
CHRISTINE SUE SIMS CRNA
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
901 MONTGOMERY ST DECORAH, IA 52101
Location Phone
(563) 382-2911
Location Fax
(563) 387-3102
Mailing Address
901 MONTGOMERY ST DECORAH, IA 52101
Mailing Phone
(563) 382-2911
Mailing Fax
(563) 387-3102
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
05-23-2006
Last Update Date
03-17-2018
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Location Map

Secondary Locations

  • 744 S Webster Ave
    Green Bay, WI 54301
    (920) 433-3605

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
D102488
License State
IA
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Engage by Medica Bronze HSA - EPO
  • Engage by Medica Bronze Share - EPO
  • Engage by Medica Expanded Bronze Standard - EPO
  • Engage by Medica Gold $0 Copay PCP Visits - EPO
  • Engage by Medica Gold Share - EPO
  • Engage by Medica Gold Standard - EPO
  • Engage by Medica Silver $0 Copay PCP Visits - EPO
  • Engage by Medica Silver Share - EPO
  • Engage by Medica Silver Standard - EPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | MercyOne - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO
  • Bronze Simple Chronic Care CKM | MercyOne - EPO
  • Bronze Simple Diabetes | MercyOne - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | MercyOne - EPO
  • Gold Elite - EPO
  • Gold Elite | MercyOne - EPO
  • Secure - EPO
  • Secure | MercyOne - EPO
  • Silver Classic - EPO
  • Silver Classic | MercyOne - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard | MercyOne - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1114972858MEDICAID (05)IA 

Medicare Participation & PECOS Enrollment Status

Christine Roth is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 2769494954

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150909003007

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.55 for a new patient copayment and $16.59 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 52101 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $122.23
  • Minimum New Patient Price $52.96
  • Maximum New Patient Price $161.4
  • Average New Patient Copayment $30.55
  • Minimum New Patient Copayment $13.24
  • Maximum New Patient Copayment $40.35

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.36
  • Minimum Established Patient Price $16.91
  • Maximum Established Patient Price $131.98
  • Average Established Patient Copayment $16.59
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Christine Roth is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
DIVINE SAVIOR HEALTHCARE2817 NEW PINERY ROAD
PORTAGE, WI 53901
(608) 742-4131Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114972858, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 8 + 7 + 4 + 8 + 1 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1114972858.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
901 MONTGOMERY ST
DECORAH, IA 52101
Physician Assistant
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Anesthetist, Certified Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Anesthetist, Certified Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Practitioner
901 MONTGOMERY ST
DECORAH, IA 52101
Specialist/Technologist (Athletic Trainer)
901 MONTGOMERY ST
DECORAH, IA 52101
Family Medicine
901 MONTGOMERY ST
DECORAH, IA 52101
Physician Assistant (Surgical)
901 MONTGOMERY ST
DECORAH, IA 52101
Pathology (Anatomic Pathology & Clinical Pathology)
901 MONTGOMERY ST
DECORAH, IA 52101
Dietitian, Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Dietitian, Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Anesthetist, Certified Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Specialist/Technologist (Athletic Trainer)
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
Nurse Practitioner (Family)
901 MONTGOMERY ST
DECORAH, IA 52101
Advanced Practice Midwife
901 MONTGOMERY ST
DECORAH, IA 52101
Family Medicine
901 MONTGOMERY ST
DECORAH, IA 52101
Surgery
901 MONTGOMERY ST
DECORAH, IA 52101
Orthopaedic Surgery
901 MONTGOMERY ST
DECORAH, IA 52101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114972858, enumerated as an "individual" on May 23, 2006.

The provider is located at 901 MONTGOMERY ST DECORAH, IA 52101 and the phone number is (563) 382-2911.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica, Oscar. Please consult your insurance carrier or call the provider to verify.

Christine Roth is affiliated with: DIVINE SAVIOR HEALTHCARE.