RYAN L ROTH APRN
NPI 1225453517
Nurse Practitioner in Higganum, CT

Active since February 24, 2014PECOS EnrolledAccepts Medicare Assignment
415 KILLINGWORTH RD, HIGGANUM, CT 06441(860) 345-8535(860) 345-8678 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan L Roth Aprn NPPES

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

RYAN L ROTH APRN (NPI 1225453517) is an individual nurse practitioner in Higganum, Connecticut, licensed in Connecticut (5832) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1225453517
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRYAN L ROTHCredential: APRN
Location Address415 KILLINGWORTH RDHigganum, CT 06441-4370
Mailing Address500 Albany AveHartford, CT 06120-2508 · (860) 249-9625 · Fax (860) 808-1580
Fax(860) 345-8678
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 24, 2014
Last NPPES UpdateOctober 17, 2019
NPI 1225453517 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
License Licensed in CT · 5832
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 ListedDietitian, RegisteredTaxonomy 133V00000X · License 994473 (CT)
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2284731 (MA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5832 (CT)
415 KILLINGWORTH RD, Higganum, CT 06441

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

Ryan L Roth Aprn 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 ID2466779871
PECOS Enrollment IDI20150324001485
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.

Areas of Expertise CMS Part B claims 17

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
146 services108 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
94 services74 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
75 services63 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services65 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
68 services59 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
57 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06441 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 12

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

Family Medicine
415 KILLINGWORTH RD
HIGGANUM, CT 06441
Social Worker (Clinical)
415 KILLINGWORTH RD, SUITE 9A/B
HIGGANUM, CT 06441
Nurse Practitioner (Family)
415 KILLINGWORTH RD
HIGGANUM, CT 06441
Social Worker (Clinical)
415 KILLINGWORTH RD, SUITE # 9
HIGGANUM, CT 06441
Dentist (General Practice)
415 KILLINGWORTH RD
HIGGANUM, CT 06441
Family Medicine
415 KILLINGWORTH RD
HIGGANUM, CT 06441
Family Medicine
415 KILLINGWORTH RD
HIGGANUM, CT 06441
Family Medicine
415 KILLINGWORTH RD
HIGGANUM, CT 06441

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 Ryan Roth's NPI number?

The NPI number for Ryan Roth is 1225453517. It was assigned to this individual provider in the NPPES registry on February 24, 2014.

Where is Ryan Roth located?

Ryan Roth practices at 415 Killingworth Rd, Higganum, CT 06441. The listed phone number is (860) 345-8535.

What is Ryan Roth's specialty?

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

Is Ryan Roth enrolled in Medicare?

Yes. Ryan 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.

When was this NPI record last updated?

The NPPES record for Ryan Roth was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.