TERRIE LYN ROTH FNP-BC
NPI 1265928162
Nurse Practitioner - Family in Oakland, MD
About Terrie Lyn Roth Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERRIE LYN ROTH FNP-BC (NPI 1265928162) is an individual family provider in Oakland, Maryland, licensed in West Virginia (63537) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Terrie Lyn Roth Fnp-bc 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.
Medicare Billing Reassignments
3Medicare enrollment records show Terrie Roth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mc Henry, MD 21541
- Reassigned Medicare billing, Maryland enrollment
- 318 clinicians in this Medicare group
Keyser, WV 26726
- Reassigned Medicare billing, West Virginia enrollment
- Also billed through NPI 1316054919 (West Virginia)
- 158 clinicians in this Medicare group
Morgantown, WV 26508
- Reassigned Medicare billing, West Virginia and Maryland enrollments
- Medicare enrollment name: West Virginia University Medical Corporation
- Also billed through NPI 1275504508 (Maryland)
- 2,471 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Garrett Regional Medical Center
Acute Care Hospitals · Oakland, MDWestern Maryland Regional Medical Center
Acute Care Hospitals · Cumberland, MDWest Virginia University Hospitals, Inc
Acute Care Hospitals · Morgantown, WVPotomac Valley Hospital
Critical Access Hospitals · Keyser, WVGrant Memorial Hospital
Critical Access Hospitals · Petersburg, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAKLAND, MD 21550
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 Terrie Roth's NPI number?
The NPI number for Terrie Roth is 1265928162. It was assigned to this individual provider in the NPPES registry on July 3, 2018.
Where is Terrie Roth located?
Terrie Roth practices at 13079 Garrett Hwy, Oakland, MD 21550. The listed phone number is (844) 424-0411.
What is Terrie Roth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Terrie Roth enrolled in Medicare?
Yes. Terrie 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.
Which organizations bill Medicare for Terrie Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terrie Roth reassigns Medicare benefits to 3 organizations: Upmc Western Maryland Health Services, LLC (Mc Henry, MD), Potomac Valley Hospital Of W VA , Inc (Keyser, WV) and Wvu Med Corp Cheat Lake Physicians (Morgantown, WV). Each 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 Terrie Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terrie Roth accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Terrie 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 Terrie Roth affiliated with any hospitals?
According to CMS data, Terrie Roth is affiliated with Garrett Regional Medical Center, Western Maryland Regional Medical Center, West Virginia University Hospitals, Inc, Potomac Valley Hospital and Grant Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Terrie Roth was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Terrie Lyn Roth, FNP-BC · NPI 1265928162
Family physician in Oakland, Maryland. Individual provider, active in the CMS NPPES registry since July 3, 2018.
## Identity
- **NPI:** 1265928162 (Entity type: Individual)
- **Enumerated:** July 3, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 63537 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 13079 GARRETT HWY, Oakland, MD 21550-1163
- **Phone:** (844) 424-0411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Upmc Western Maryland Health Services, LLC (NPI 1013696491, Mc Henry, MD); Potomac Valley Hospital Of W VA , Inc (NPI 1912979873, Keyser, WV); Wvu Med Corp Cheat Lake Physicians (NPI 1568661148, Morgantown, WV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265928162) · Data from the CMS NPPES public registry.