ROTH FAMILY MEDICINE AND MENTAL HEALTH
NPI 1144168881
Nurse Practitioner in Pocatello, ID

Q: What is Roth Family Medicine And Mental Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 24, 2026

444 HOSPITAL WAY STE 422, POCATELLO, ID 83201(208) 423-8132(208) 203-6420 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Roth Family Medicine And Mental Health NPPES

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

ROTH FAMILY MEDICINE AND MENTAL HEALTH (NPI 1144168881) is a healthcare organization registered as a nurse practitioner in Pocatello, Idaho and active in the NPI registry since March 2026. The organization lists Kyle Abraham Roth, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1144168881

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameROTH FAMILY MEDICINE AND MENTAL HEALTH

Location Address444 HOSPITAL WAY STE 422Pocatello, ID 83201-2744

Mailing Address444 Hospital Way Ste 422Pocatello, ID 83201-2744 · (208) 423-8132 · Fax (208) 203-6420

Phone(208) 423-8132

Fax(208) 203-6420

Organization SubpartNo

Authorized OfficialKyle Abraham RothAuthorized Official · (208) 423-8132

Enumeration DateMarch 24, 2026

Last NPPES UpdateJune 11, 2026

NPPES CertifiedJune 11, 2026

✔ NPI 1144168881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

444 HOSPITAL WAY STE 422, Pocatello, ID 83201

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roth Family Medicine And Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Roth Family Medicine And Mental Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kyle Roth, NP

Nurse Practitioner

NPI 1659238822

444 HOSPITAL WAY STE 422
Pocatello, ID 83201

(208) 423-8132

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Roth Family Medicine And Mental Health's NPI number?

The NPI number for Roth Family Medicine And Mental Health is 1144168881. It was assigned to this organization in the NPPES registry on March 24, 2026.

Where is Roth Family Medicine And Mental Health located?

Roth Family Medicine And Mental Health is located at 444 Hospital Way Ste 422, Pocatello, ID 83201. The listed phone number is (208) 423-8132.

What is Roth Family Medicine And Mental Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Roth Family Medicine And Mental Health enrolled in Medicare?

Yes. Roth Family Medicine And Mental Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roth Family Medicine And Mental Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Roth Family Medicine And Mental Health. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Roth Family Medicine And Mental Health was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.