JESSICA ANN ROTH
NPI 1407327224
Nurse Practitioner in Fort Worth, TX

Active since December 06, 2018PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
900 W MAGNOLIA AVE STE 100, FORT WORTH, TX 76104(817) 870-7300(817) 332-5117 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2021, Dec 6, 2018 (2 updates tracked since 2018).

About Jessica Ann Roth NPPES

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

JESSICA ANN ROTH (NPI 1407327224) is an individual nurse practitioner in Fort Worth, Texas, licensed in Texas (AP138318) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1407327224
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA ANN ROTH
Location Address900 W MAGNOLIA AVE STE 100Fort Worth, TX 76104-8518
Mailing AddressPo Box 206239Dallas, TX 75320-6239 · (214) 424-2200 · Fax (469) 547-5339
Fax(817) 332-5117
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 6, 2018
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
NPI 1407327224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · AP138318
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
900 W MAGNOLIA AVE STE 100, Fort Worth, TX 76104

Other Names 1

Former Name (1)Jessica Ann Roth

Other Identifiers 1

OtherAP138318TX · Nurse Practioner

Accepted 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

Jessica Ann Roth 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 ID2961740261
PECOS Enrollment IDI20190212002051
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 5

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.
177 services162 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 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.
52 services51 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.
39 services39 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Gastroenterology)
900 W MAGNOLIA AVE STE 100
FORT WORTH, TX 76104
Internal Medicine (Gastroenterology)
900 W MAGNOLIA AVE STE 100
FORT WORTH, TX 76104
Nurse Practitioner (Family)
900 W MAGNOLIA AVE STE 100
FORT WORTH, TX 76104
Internal Medicine (Gastroenterology)
900 W MAGNOLIA AVE STE 100
FORT WORTH, TX 76104
Internal Medicine (Gastroenterology)
900 W MAGNOLIA AVE STE 100
FORT WORTH, TX 76104
Physician Assistant
900 W MAGNOLIA AVE STE 100
FORT WORTH, TX 76104

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 Jessica Roth's NPI number?

The NPI number for Jessica Roth is 1407327224. It was assigned to this individual provider in the NPPES registry on December 6, 2018. The provider is also known as Jessica Ann Roth.

Where is Jessica Roth located?

Jessica Roth practices at 900 W Magnolia Ave Ste 100, Fort Worth, TX 76104. The listed phone number is (817) 870-7300.

What is Jessica Roth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jessica Roth enrolled in Medicare?

Yes. Jessica 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.

What insurance does Jessica Roth accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Jessica 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.

When was this NPI record last updated?

The NPPES record for Jessica Roth was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.