ROOSEVELT BANTOE TOTAYE CRNP
NPI 1467319491
Nurse Practitioner - Family in East Stroudsburg, PA
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
Specialties & Licenses 6
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Roosevelt Totaye reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 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.
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, PAPhysician 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.
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.
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
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.
Which organization bills Medicare for Roosevelt Totaye's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roosevelt Totaye reassigns Medicare benefits to Lehigh Valley Physician Group (East Stroudsburg, PA). 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 Roosevelt Totaye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roosevelt Totaye accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Roosevelt Totaye 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 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 5 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.
# Roosevelt Bantoe Totaye, CRNP · NPI 1467319491
Family physician in East Stroudsburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 9, 2026.
## Identity
- **NPI:** 1467319491 (Entity type: Individual)
- **Enumerated:** January 9, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP032033 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 206 E BROWN ST, East Stroudsburg, PA 18301-3006
- **Phone:** (570) 426-2301
## 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:** Lehigh Valley Physician Group (NPI 1366236937, East Stroudsburg, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1467319491) · Data from the CMS NPPES public registry.