JOY MARIE ROTH FNP-C
NPI 1164084190
Nurse Practitioner - Family in Sioux Falls, SD

Active since June 29, 2019PECOS EnrolledAccepts Medicare Assignment
1417 S CLIFF AVE STE 401, SIOUX FALLS, SD 57105(605) 322-8920 Get Directions Write a Review

NPPES record last updated: June 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joy Marie Roth Fnp-c NPPES

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

JOY MARIE ROTH FNP-C (NPI 1164084190) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001593) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1164084190
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOY MARIE ROTHCredential: FNP-C
Location Address1417 S CLIFF AVE STE 401Sioux Falls, SD 57105-1064
Mailing Address1417 S Cliff Ave Ste 401Sioux Falls, SD 57105-1064
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 29, 2019
NPI 1164084190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SD · CP001593
1417 S CLIFF AVE STE 401, Sioux Falls, SD 57105

Secondary Practice Location 1

Location 11325 S Cliff AveSioux Falls, SD 57105-1007 · Phone (605) 322-8000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joy Marie Roth Fnp-c 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 ID1052640216
PECOS Enrollment IDI20190912003140
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.

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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 3

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

Obstetrics & Gynecology
1417 S CLIFF AVE STE 401
SIOUX FALLS, SD 57105
Obstetrics & Gynecology
1417 S CLIFF AVE STE 401
SIOUX FALLS, SD 57105
Community Health Worker
1417 S CLIFF AVE STE 401
SIOUX FALLS, SD 57105

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 Joy Roth's NPI number?

The NPI number for Joy Roth is 1164084190. It was assigned to this individual provider in the NPPES registry on June 29, 2019.

Where is Joy Roth located?

Joy Roth practices at 1417 S Cliff Ave Ste 401, Sioux Falls, SD 57105. The listed phone number is (605) 322-8920.

What is Joy Roth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joy Roth enrolled in Medicare?

Yes. Joy 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.

What insurance does Joy Roth accept?

Health plans from Avera Health Plans and Medica list Joy 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 Joy Roth affiliated with any hospitals?

According to CMS data, Joy Roth is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Joy Roth was last updated on June 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.