LARISSA ANN ROTH CNP
NPI 1669855615
Nurse Practitioner - Family in Youngstown, OH
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
Specialties & Licenses
Other Identifiers 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Larissa Roth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Youngstown, OH 44504
- Reassigned Medicare billing, Ohio enrollment
- 744 clinicians in this Medicare group
Youngstown, OH 44504
- Reassigned Medicare billing, Ohio enrollment
- 374 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.
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, OHPhysician 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.
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.
YOUNGSTOWN, OH 44504
YOUNGSTOWN, OH 44504
YOUNGSTOWN, OH 44504
YOUNGSTOWN, OH 44504
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 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.
Where is Larissa Roth located?
Larissa Roth practices at 1001 Belmont Ave, Youngstown, OH 44504. The listed phone number is (330) 744-2118.
What is Larissa Roth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Larissa Roth enrolled in Medicare?
Yes. Larissa 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 organizations bill Medicare for Larissa Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Roth reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Youngstown Specialty Care LLC (Youngstown, OH) and Mercy Health Physicians Youngstown, LLC (Youngstown, OH). Each 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 Larissa Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Larissa Roth accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 2 other insurers list Larissa 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 Larissa Roth affiliated with any hospitals?
According to CMS data, Larissa Roth is affiliated with St Elizabeth Youngstown Hospital.
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 7 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.
# Larissa Ann Roth, CNP · NPI 1669855615
Family physician in Youngstown, Ohio. Individual provider, active in the CMS NPPES registry since July 8, 2015.
## Identity
- **NPI:** 1669855615 (Entity type: Individual)
- **Enumerated:** July 8, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.17618 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 BELMONT AVE, Youngstown, OH 44504-1003
- **Phone:** (330) 744-2118 · **Fax:** (330) 744-2110
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Mercy Health Physicians Youngstown Specialty Care LLC (NPI 1609544055, Youngstown, OH); Mercy Health Physicians Youngstown, LLC (NPI 1154636066, Youngstown, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 3, 2019
- **Other identifiers:** Medicaid 0137805 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1669855615) · Data from the CMS NPPES public registry.