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KATHERINE VIRGINIA ROTH
NPI 1285484816
Nurse Anesthetist, Certified Registered in Iowa City, IA

Active since March 26, 2024PECOS Enrolled
200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-1616 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katherine Virginia Roth NPPES

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

KATHERINE VIRGINIA ROTH (NPI 1285484816) is an individual nurse anesthetist, certified registered in Iowa City, Iowa, licensed in Iowa (D192005) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Liberty, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1285484816
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKATHERINE VIRGINIA ROTH
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-2633 · Fax (319) 356-2940
Phone(319) 356-1616
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 26, 2024
Last NPPES UpdateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
✔ NPI 1285484816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IA · D192005
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
200 HAWKINS DR, Iowa City, IA 52242
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Other Names 1

Former Name (1)Katherine Virginia Wells

Secondary Practice Location 1

Location 1701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 356-2633 · Fax (319) 356-2940

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Virginia Roth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587122312
PECOS Enrollment IDI20260821000740
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 52242 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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 20

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

SANGIL LEE M.D.
Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2233
RAMI G. EL ABIAD M.D.
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-4901
GRERK SUTAMTEWAGUL MD
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Johnson County (319) 356-1616
DR. KALEB TANNER VEIT D.O.
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2320
OMAR JABER M.D
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 471-8958
JENNIFER MANCUSO MS, CGC
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Johnson County (319) 384-7983
ASHLEY KAISER M.D.
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Johnson County (319) 356-2294
MRS. NANCY JANE MILLICE
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242
Johnson County (319) 356-3825

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 Katherine Roth's NPI number?

The NPI number for Katherine Roth is 1285484816. It was assigned to this individual provider in the NPPES registry on March 26, 2024. The provider is also known as Katherine Virginia Wells.

Where is Katherine Roth located?

Katherine Roth practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-1616.

What is Katherine Roth's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Katherine Roth enrolled in Medicare?

Yes. Katherine Roth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Roth was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.