JOANNA BELLE ROTH M.S., A.C.N.P.-B.C.
NPI 1194975466
Nurse Practitioner in Goshen, IN

Q: What is Joanna Roth's NPI number?

The NPI number for Joanna Roth is 1194975466. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Q: What is Joanna Roth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joanna Roth was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 24, 2008PECOS Enrolled

21764 OMEGA CT, GOSHEN, IN 46528(574) 891-4920(574) 891-4902 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2024, Sep 11, 2019, Aug 21, 2017 (3 updates tracked since 2017).

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About Joanna Belle Roth M.s., A.c.n.p.-b.c. NPPES

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

JOANNA BELLE ROTH M.S., A.C.N.P.-B.C. (NPI 1194975466) is an individual nurse practitioner in Goshen, Indiana, licensed in Indiana (71002933A) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194975466

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJOANNA BELLE ROTHCredential: M.S., A.C.N.P.-B.C.

Location Address21764 OMEGA CTGoshen, IN 46528-7809

Mailing Address21764 Omega CtGoshen, IN 46528-7809 · (574) 891-4920 · Fax (574) 891-4902

Phone(574) 891-4920

Fax(574) 891-4902

Sole ProprietorNo

Enumeration DateSeptember 24, 2008

Last NPPES UpdateFebruary 6, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2024

✔ NPI 1194975466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71002933A

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 ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X · License 71002933A (IN)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 71002933A (IN)

21764 OMEGA CT, Goshen, IN 46528

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joanna Belle Roth M.s., A.c.n.p.-b.c. 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 46528 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 8

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

MARANDA RAE HOUSER MSW, LCSW

Counselor (Mental Health)