MRS. KERRIE SHEA ROTH NP
NPI 1467157297
Nurse Practitioner - Family in Commack, NY
About Mrs. Kerrie Shea Roth Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KERRIE SHEA ROTH NP (NPI 1467157297) is an individual family provider in Commack, New York, licensed in New York (350446) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Uniondale, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Mrs. Kerrie Shea Roth 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kerrie Roth reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Commack, NY 11725
- Reassigned Medicare billing, New York enrollment
- 265 clinicians in this Medicare group
Uniondale, NY 11553
- Reassigned Medicare billing, New York enrollment
- 191 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 191 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 11725 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 20
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 Kerrie Roth's NPI number?
The NPI number for Kerrie Roth is 1467157297. It was assigned to this individual provider in the NPPES registry on April 3, 2023. The provider is also known as Kerrie Shea Cahalin Np.
Where is Kerrie Roth located?
Kerrie Roth practices at 650 Commack Rd, Commack, NY 11725. The listed phone number is (212) 639-2000.
What is Kerrie Roth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kerrie Roth enrolled in Medicare?
Yes. Kerrie 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.
Which organizations bill Medicare for Kerrie Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kerrie Roth reassigns Medicare benefits to 4 organizations: Mskcc Regional Network (Commack, NY), Msk Nassau (Uniondale, NY), North Shore-Lij Medical PC (Great Neck, NY) and Memorial Neurology Group (New York, NY). 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 Kerrie Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kerrie Roth was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Mrs. Kerrie Shea Roth, NP · NPI 1467157297
Family physician in Commack, New York. Individual provider, active in the CMS NPPES registry since April 3, 2023.
## Identity
- **NPI:** 1467157297 (Entity type: Individual)
- **Enumerated:** April 3, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 350446 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 650 COMMACK RD, Commack, NY 11725-5404
- **Phone:** (212) 639-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mskcc Regional Network (NPI 1740251297, Commack, NY); Msk Nassau (NPI 1053875229, Uniondale, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); Memorial Neurology Group (NPI 1538130190, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1467157297) · Data from the CMS NPPES public registry.