RACHEL ROTH NP-C
NPI 1629428271
Nurse Practitioner in Bridgeton, MO

Q: What is Rachel Roth's NPI number?

The NPI number for Rachel Roth is 1629428271. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Q: What is Rachel Roth'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 Rachel Roth was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 14, 2016PECOS EnrolledAccepts Medicare Assignment

12266 DE PAUL DR STE 305, BRIDGETON, MO 63044(314) 770-0991 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2023, Jun 14, 2016 (2 updates tracked since 2016).

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About Rachel Roth Np-c NPPES

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

RACHEL ROTH NP-C (NPI 1629428271) is an individual nurse practitioner in Bridgeton, Missouri, licensed in Missouri (2016009384) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1629428271

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameRACHEL ROTHCredential: NP-C

Location Address12266 DE PAUL DR STE 305Bridgeton, MO 63044-2514

Mailing AddressPo Box 955534Saint Louis, MO 63195-5534

Phone(314) 770-0991

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 14, 2016

Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration

NPPES CertifiedNovember 20, 2023

✔ NPI 1629428271 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 MO · 2016009384

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.

12266 DE PAUL DR STE 305, Bridgeton, MO 63044

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Secondary Practice Location 1

Location 13015 N Ballas RdSaint Louis, MO 63131-2329 · Phone (314) 996-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Rachel Roth Np-c 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 ID1951778299

PECOS Enrollment IDI20231027002416

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.

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260104

Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICHOLAS MUELLER PIENING MD

Surgery (Vascular Surgery)