LARISSA ANN ROTH CNP
NPI 1669855615
Nurse Practitioner - Family in Youngstown, OH

Q: What is Larissa Roth's NPI number?

The NPI number for Larissa Roth is 1669855615. It was assigned to this individual provider in the NPPES registry on July 8, 2015.

Q: What is Larissa Roth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Larissa Roth was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 08, 2015PECOS EnrolledAccepts Medicare Assignment

1001 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 744-2118(330) 744-2110 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 3, 2019, Jan 6, 2017, Oct 2, 2015 (3 updates tracked since 2015).

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About Larissa Ann Roth Cnp NPPES

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

LARISSA ANN ROTH CNP (NPI 1669855615) is an individual family provider in Youngstown, Ohio, licensed in Ohio (APRN.CNP.17618) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669855615

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLARISSA ANN ROTHCredential: CNP

Location Address1001 BELMONT AVEYoungstown, OH 44504-1003

Mailing Address1001 Belmont AveYoungstown, OH 44504-1003 · (330) 744-2118 · Fax (330) 744-2110

Phone(330) 744-2118

Fax(330) 744-2110

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 8, 2015

Last NPPES UpdateSeptember 3, 20193 updates tracked since enumeration

✔ NPI 1669855615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.17618

1001 BELMONT AVE, Youngstown, OH 44504

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Other Identifiers 1

Medicaid0137805OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Larissa Ann Roth Cnp 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 ID5294049037

PECOS Enrollment IDI20150806011244

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.

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360064

Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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.

CHAKRI YARLAGADDA M.D.

Internal Medicine (Cardiovascular Disease)