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JACQUELINE L ROETHLISBERGER NP
NPI 1366561870
Nurse Practitioner - Adult Health in Kettering, OH

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3700 SOUTHERN BLVD STE 201, KETTERING, OH 45429(855) 500-2873(937) 281-3992 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2022, Nov 20, 2017, Nov 18, 2015 (3 updates tracked since 2015).

About Jacqueline L Roethlisberger Np NPPES

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

JACQUELINE L ROETHLISBERGER NP (NPI 1366561870) is an individual adult health provider in Kettering, Ohio, licensed in Ohio (COA 03334 NP) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1366561870
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJACQUELINE L ROETHLISBERGERCredential: NP
Location Address3700 SOUTHERN BLVD STE 201Kettering, OH 45429-1265
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Phone(855) 500-2873
Fax(937) 281-3992
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 28, 2007
Last NPPES UpdateApril 12, 20223 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1366561870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in OH · COA 03334 NP✔ Licensed in OH · RN 199132 COA
3700 SOUTHERN BLVD STE 201, Kettering, OH 45429
Open in Google Maps ↗

Other Identifiers 1

Medicaid2731806OH

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline L Roethlisberger Np 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 ID3779680970
PECOS Enrollment IDI20070523000338
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 3

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 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.
202 services137 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
95 services42 patients
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.
26 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360132
Location630 Eaton AvenueHamilton, OH 45013 · Butler County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 11

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

ERICA LEE ERTEL
Nurse Practitioner (Family)
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873
DR. MICHAEL STEPHEN GUY M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873
JING LI HUANG
Surgery (Surgical Oncology)
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873
JULIET E WOLFORD M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873
ROXANE WEIGHALL DO
Surgery (Surgical Oncology)
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873
MARRYANNE ALLEN APRN-CNP
Nurse Practitioner (Primary Care)
3700 SOUTHERN BLVD STE 201
DAYTON, OH 45429
Montgomery County (855) 500-2873
REBECCA MAE TUTTLE MD
Surgery (Surgical Oncology)
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873
FATEMEH MIRZAMOHAMMADI MD,PHD
Plastic Surgery
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873

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 Jacqueline Roethlisberger's NPI number?

The NPI number for Jacqueline Roethlisberger is 1366561870. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Jacqueline Roethlisberger located?

Jacqueline Roethlisberger practices at 3700 Southern Blvd Ste 201, Kettering, OH 45429. The listed phone number is (855) 500-2873.

What is Jacqueline Roethlisberger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jacqueline Roethlisberger enrolled in Medicare?

Yes. Jacqueline Roethlisberger 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.

What insurance does Jacqueline Roethlisberger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Jacqueline Roethlisberger 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 Jacqueline Roethlisberger affiliated with any hospitals?

According to CMS data, Jacqueline Roethlisberger is affiliated with Kettering Health Main Campus, Fort Hamilton Hughes Memorial Hospital, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Jacqueline Roethlisberger was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.