ROOSEVELT BANTOE TOTAYE CRNP
NPI 1467319491
Nurse Practitioner - Family in East Stroudsburg, PA

Active since January 09, 2026PECOS EnrolledAccepts Medicare Assignment
206 E BROWN ST, EAST STROUDSBURG, PA 18301(570) 426-2301 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2026, Mar 3, 2026, Jan 9, 2026 (3 updates tracked since 2026).

About Roosevelt Bantoe Totaye Crnp NPPES

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

ROOSEVELT BANTOE TOTAYE CRNP (NPI 1467319491) is an individual family provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (SP032033) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital - Pocono, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1467319491
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameROOSEVELT BANTOE TOTAYECredential: CRNP
Location Address206 E BROWN STEast Stroudsburg, PA 18301-3006
Mailing Address206 E Brown StEast Stroudsburg, PA 18301-3006 · (570) 426-2301
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 9, 2026
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1467319491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP032033
Also ListedEmergency MedicineTaxonomy 207P00000X · License SP032033 (PA)
Also ListedInternal MedicineTaxonomy 207R00000X · License SP032033 (PA)
Also ListedSurgeryTaxonomy 208600000X · License SP032033 (PA)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License SP032033 (PA)
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License SP032033 (PA)
206 E BROWN ST, East Stroudsburg, PA 18301

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

Roosevelt Bantoe Totaye Crnp 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 ID9032692256
PECOS Enrollment IDI20260316000963
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.

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Nurse Anesthetist, Certified Registered
206 E BROWN ST
E STROUDSBURG, PA 18301
Pharmacist
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Medical)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Obstetrics & Gynecology
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Speech-Language Pathologist
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Surgical)
206 E BROWN ST
EAST STROUDSBURG, PA 18301

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 Roosevelt Totaye's NPI number?

The NPI number for Roosevelt Totaye is 1467319491. It was assigned to this individual provider in the NPPES registry on January 9, 2026.

Where is Roosevelt Totaye located?

Roosevelt Totaye practices at 206 E Brown St, East Stroudsburg, PA 18301. The listed phone number is (570) 426-2301.

What is Roosevelt Totaye's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Roosevelt Totaye enrolled in Medicare?

Yes. Roosevelt Totaye 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.

Is Roosevelt Totaye affiliated with any hospitals?

According to CMS data, Roosevelt Totaye is affiliated with Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Roosevelt Totaye was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.