ELENA M. ROACH CPNP
NPI 1629355284
Nurse Practitioner - Pediatrics in Cincinnati, OH

Active since November 10, 2011PECOS Enrolled
1401 STEFFEN AVE, CINCINNATI, OH 45215(513) 588-3623(513) 851-4809 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2026, Aug 24, 2026 (2 updates tracked since 2026).

About Elena M. Roach Cpnp NPPES

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

ELENA M. ROACH CPNP (NPI 1629355284) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (NP-12913) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629355284
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameELENA M. ROACHCredential: CPNP
Location Address1401 STEFFEN AVECincinnati, OH 45215-2338
Mailing Address1401 Steffen AveCincinnati, OH 45215-2338 · (513) 588-3623 · Fax (513) 851-4809
Fax(513) 851-4809
Sole ProprietorNo
Enumeration DateNovember 10, 2011
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1629355284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OH · NP-12913
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 12913 (OH)
1401 STEFFEN AVE, Cincinnati, OH 45215

Other Identifiers 2

OtherNP12913OH · Oh License
Medicaid0057745OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elena M. Roach Cpnp 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 Elena Roach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1401 STEFFEN AVE
Cincinnati, OH 45215
  • Reassigned Medicare billing, Ohio enrollment
  • 38 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 45215 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.

Pharmacy Technician
1401 STEFFEN AVE
CINCINNATI, OH 45215
Clinic/Center (Federally Qualified Health Center (FQHC))
1401 STEFFEN AVE
CINCINNATI, OH 45215
Pharmacy
1401 STEFFEN AVE
CINCINNATI, OH 45215
Nurse Practitioner (Family)
1401 STEFFEN AVE
CINCINNATI, OH 45215
Nurse Practitioner
1401 STEFFEN AVE
CINCINNATI, OH 45215
Nurse Practitioner (Adult Health)
1401 STEFFEN AVE, LINCOLN HEIGHTS HEALTH CENTER
CINCINNATI, OH 45215
Family Medicine
1401 STEFFEN AVE
CINCINNATI, OH 45215
Nurse Practitioner (Family)
1401 STEFFEN AVE
CINCINNATI, OH 45215

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 Elena Roach's NPI number?

The NPI number for Elena Roach is 1629355284. It was assigned to this individual provider in the NPPES registry on November 10, 2011.

Where is Elena Roach located?

Elena Roach practices at 1401 Steffen Ave, Cincinnati, OH 45215. The listed phone number is (513) 588-3623.

What is Elena Roach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Elena Roach enrolled in Medicare?

Yes. Elena Roach is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elena Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elena Roach reassigns Medicare benefits to The Healthcare Connection, Inc (Cincinnati, OH). 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 Elena Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elena Roach accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Elena Roach 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.

When was this NPI record last updated?

The NPPES record for Elena Roach was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.