BOBBI LEE ROTH FNP
NPI 1558890848
Nurse Practitioner - Family in Tualatin, OR
About Bobbi Lee Roth Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOBBI LEE ROTH FNP (NPI 1558890848) is an individual family provider in Tualatin, Oregon, licensed in Oregon (201702881NP-PP) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Bobbi Lee Roth Fnp 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 Bobbi Lee Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Reno, NV 89521
- Reassigned Medicare billing, Nevada enrollment
- 4 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.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Renown Regional Medical Center
Acute Care Hospitals · Reno, NVCarson Tahoe Regional Medical Center
Acute Care Hospitals · Carson City, NVNorthern Nevada Medical Center
Acute Care Hospitals · Sparks, NVCarson Valley Health
Critical Access Hospitals · Gardnerville, NVHumboldt General Hospital
Critical Access Hospitals · Winnemucca, NVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97062 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
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 Bobbi Lee Roth's NPI number?
The NPI number for Bobbi Lee Roth is 1558890848. It was assigned to this individual provider in the NPPES registry on June 8, 2017.
Where is Bobbi Lee Roth located?
Bobbi Lee Roth practices at 19250 SW 65th Ave Ste 110, Tualatin, OR 97062. The listed phone number is (503) 692-1805.
What is Bobbi Lee Roth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bobbi Lee Roth enrolled in Medicare?
Yes. Bobbi Lee 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 organization bills Medicare for Bobbi Lee Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bobbi Lee Roth reassigns Medicare benefits to Peng MD PLLC (Reno, NV). 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 Bobbi Lee Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bobbi Lee Roth accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Bobbi Lee 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.
Is Bobbi Lee Roth affiliated with any hospitals?
According to CMS data, Bobbi Lee Roth is affiliated with Renown Regional Medical Center, Carson Tahoe Regional Medical Center, Northern Nevada Medical Center, Carson Valley Health and Humboldt General Hospital.
When was this NPI record last updated?
The NPPES record for Bobbi Lee Roth was last updated on June 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Bobbi Lee Roth, FNP · NPI 1558890848
Family physician in Tualatin, Oregon. Individual provider, active in the CMS NPPES registry since June 8, 2017.
## Identity
- **NPI:** 1558890848 (Entity type: Individual)
- **Enumerated:** June 8, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201702881NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 19250 SW 65TH AVE STE 110, Tualatin, OR 97062-7707
- **Phone:** (503) 692-1805
## 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:** Peng MD PLLC (NPI 1912563826, Reno, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 19, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1558890848) · Data from the CMS NPPES public registry.