ANDREA RAE ROUSH
NPI 1487206421
Nurse Practitioner in Gallipolis, OH

Q: What is Andrea Roush's NPI number?

The NPI number for Andrea Roush is 1487206421. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Q: What is Andrea Roush's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Roush was last updated on November 25, 2020. 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.

Active since July 10, 2019PECOS Enrolled

100 JACKSON PIKE, GALLIPOLIS, OH 45631(554) 465-9378 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 25, 2020, Aug 14, 2019, Jul 10, 2019 (3 updates tracked since 2019).

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About Andrea Rae Roush NPPES

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

ANDREA RAE ROUSH (NPI 1487206421) is an individual nurse practitioner in Gallipolis, Ohio, licensed in Ohio (APRN.CNP.025077) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487206421

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANDREA RAE ROUSH

Location Address100 JACKSON PIKEGallipolis, OH 45631-1560

Mailing Address90 Jackson PikeGallipolis, OH 45631-1562 · (740) 441-1949 · Fax (740) 446-5982

Phone(554) 465-9378

Sole ProprietorNo

Enumeration DateJuly 10, 2019

Last NPPES UpdateNovember 25, 20203 updates tracked since enumeration

NPPES CertifiedNovember 25, 2020

✔ NPI 1487206421 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 OH · APRN.CNP.025077

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.

100 JACKSON PIKE, Gallipolis, OH 45631

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Highmark Blue Cross Blue Shield West Virginia and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Rae Roush is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Roush reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Holzer Clinic, LLC

Same address

Multi-Specialty

100 JACKSON PIKE
Gallipolis, OH 45631

Reassigned Medicare billing, Ohio and West Virginia enrollments
321 clinicians in this Medicare group

NPI 1508817248 (740) 446-5385

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 45631 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.

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.

EUGENIA KAY MCCOY CRNA, DMPNA

Nurse Anesthetist, Certified Registered