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JOHN ROOF FNP-C
NPI 1275067670
Nurse Practitioner - Family in Wooster, OH

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
1761 BEALL AVE STE 3A, WOOSTER, OH 44691(330) 202-5700(330) 202-5701 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 30, 2020, Apr 12, 2017 (2 updates tracked since 2017).

About John Roof Fnp-c NPPES

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

JOHN ROOF FNP-C (NPI 1275067670) is an individual family provider in Wooster, Ohio, licensed in Ohio (F02170860) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Wooster Community Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1275067670
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN ROOFCredential: FNP-C
Location Address1761 BEALL AVE STE 3AWooster, OH 44691-2342
Mailing Address2440 Kenyon Ave NwMassillon, OH 44647-9517 · (330) 705-2294
Phone(330) 202-5700
Fax(330) 202-5701
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 12, 2017
Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1275067670 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 OH · F02170860
1761 BEALL AVE STE 3A, Wooster, OH 44691
Open in Google Maps ↗

Other Identifiers 1

Medicaid0224745OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

John Roof 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 ID6204104094
PECOS Enrollment IDI20170620001976
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.

Medicare Billing Reassignments

4

Medicare enrollment records show John Roof reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bloomington Medical Services LLC
0.1 mi
Internal Medicine
1761 BEALL AVE
Wooster, OH 44691
  • Reassigned Medicare billing, Ohio enrollment
  • 126 clinicians in this Medicare group
NPI 1528246683 (330) 263-8428
Pinnacle Care Providers, LLC
29 mi
Internal Medicine
236 3RD ST SW
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 79 clinicians in this Medicare group
NPI 1578799417 (330) 754-4431
Skill Doc 101, LLC
29 mi
Internal Medicine
236 3RD ST SW
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 85 clinicians in this Medicare group
NPI 1043647803 (330) 754-4431
Pai Participant 1 LLC
115 mi
Geriatric Medicine
60 MARIETTA RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 149 clinicians in this Medicare group
NPI 1093371312 (859) 291-4800

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 4

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.
556 services438 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.
138 services129 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Wooster Community Hospital

Acute Care Hospitals · Wooster, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360036
Location1761 Beall AvenueWooster, OH 44691 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44691 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

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.

SKYLER DEMITER PA-C
Physician Assistant
1761 BEALL AVE STE 3A
WOOSTER, OH 44691
Wayne County (330) 202-5700
MRS. KELLY ROBERTS CNP
Nurse Practitioner (Adult Health)
1761 BEALL AVE STE 3A
WOOSTER, OH 44691
Wayne County (330) 202-5700
DAVID JOHN WELLS DO MPH
Internal Medicine (Cardiovascular Disease)
1761 BEALL AVE STE 3A
WOOSTER, OH 44691
Wayne County (330) 202-5700

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 John Roof's NPI number?

The NPI number for John Roof is 1275067670. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is John Roof located?

John Roof practices at 1761 Beall Ave Ste 3A, Wooster, OH 44691. The listed phone number is (330) 202-5700.

What is John Roof's specialty?

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

Is John Roof enrolled in Medicare?

Yes. John Roof 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 John Roof's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Roof reassigns Medicare benefits to 4 organizations: Bloomington Medical Services LLC (Wooster, OH), Pinnacle Care Providers, LLC (Canton, OH), Skill Doc 101, LLC (Canton, OH) and Pai Participant 1 LLC (Chillicothe, OH). 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 John Roof's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Roof accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual list John Roof 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 John Roof affiliated with any hospitals?

According to CMS data, John Roof is affiliated with Wooster Community Hospital.

When was this NPI record last updated?

The NPPES record for John Roof was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.