MR. TERRY W ROUSH PPCNP-BC
NPI 1306318662
Nurse Practitioner - Pediatrics in Chillicothe, OH
About Mr. Terry W Roush Ppcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TERRY W ROUSH PPCNP-BC (NPI 1306318662) is an individual pediatrics provider in Chillicothe, Ohio, licensed in Ohio (APRN.CNP.024684) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Terry W Roush Ppcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Terry Roush reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mansfield, OH 44906
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Childrens Community Practices LLC
- 36 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Terry Roush's NPI number?
The NPI number for Terry Roush is 1306318662. It was assigned to this individual provider in the NPPES registry on December 27, 2018.
Where is Terry Roush located?
Terry Roush practices at 1264 Hospital Rd, Chillicothe, OH 45601. The listed phone number is (740) 779-6805.
What is Terry Roush's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Terry Roush enrolled in Medicare?
Yes. Terry Roush is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Terry Roush's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terry Roush reassigns Medicare benefits to Children's Community Practices, LLC (Mansfield, OH). The 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 Terry Roush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terry Roush accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and UnitedHealthcare list Terry Roush 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.
When was this NPI record last updated?
The NPPES record for Terry Roush was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mr. Terry W Roush, PPCNP-BC · NPI 1306318662
Pediatrics physician in Chillicothe, Ohio. Individual provider, active in the CMS NPPES registry since December 27, 2018.
## Identity
- **NPI:** 1306318662 (Entity type: Individual)
- **Enumerated:** December 27, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** APRN.CNP.024684 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1264 HOSPITAL RD, Chillicothe, OH 45601
- **Phone:** (740) 779-6805
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Community Practices, LLC (NPI 1386031896, Mansfield, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2025
- **Other identifiers:** Medicaid 0349445 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1306318662) · Data from the CMS NPPES public registry.