SEAN ROCHE FNP
NPI 1679001036
Nurse Practitioner - Family in Durango, CO

Q: What is Sean Roche's NPI number?

The NPI number for Sean Roche is 1679001036. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Q: What is Sean Roche'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 Sean Roche was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 30, 2017PECOS Enrolled

14 CALICO TRL, DURANGO, CO 81301(970) 501-5999(970) 422-4023 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, Jan 27, 2023, Nov 6, 2020 and 4 more (7 updates tracked since 2017).

On this page

About Sean Roche Fnp NPPES

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

SEAN ROCHE FNP (NPI 1679001036) is an individual family provider in Durango, Colorado, licensed in Colorado (0993212) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679001036

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSEAN ROCHECredential: FNP

Location Address14 CALICO TRLDurango, CO 81301-8422

Mailing Address160 E 12th St Ste 1Durango, CO 81301-5261 · (970) 501-5999 · Fax (970) 422-4023

Phone(970) 501-5999

Fax(970) 422-4023

Sole ProprietorNo

Enumeration DateMay 30, 2017

Last NPPES UpdateJune 30, 20257 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1679001036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in CO · 0993212✔ Licensed in OR · 201900239RN✔ Licensed in OR · 201900774NP-PP

Also ListedNurse PractitionerTaxonomy 363L00000X · License APN.0993212-NP (CO)

14 CALICO TRL, Durango, CO 81301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Roche Fnp 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 Reassignments

Medicare enrollment records show Sean Roche reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peak Health & Wellness, LLC

610 mi

Urgent Care

403 W MAIN ST
Belgrade, MT 59714

Reassigned Medicare billing, Montana enrollment
35 clinicians in this Medicare group

NPI 1073669461 (406) 388-8708

Icco LLC

917 mi

Urgent Care

35859 HIGHWAY 58
Pleasant Hill, OR 97455

Reassigned Medicare billing, Oregon enrollment
190 clinicians in this Medicare group

NPI 1063806842 (541) 345-8760

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

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 Sean Roche's NPI number?

The NPI number for Sean Roche is 1679001036. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Sean Roche located?

Sean Roche practices at 14 Calico Trl, Durango, CO 81301. The listed phone number is (970) 501-5999.

What is Sean Roche's specialty?

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

Is Sean Roche enrolled in Medicare?

Yes. Sean Roche is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sean Roche's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Roche reassigns Medicare benefits to 2 organizations: Peak Health & Wellness, LLC (Belgrade, MT) and Icco LLC (Pleasant Hill, OR). 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 Sean Roche's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Roche accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma list Sean Roche 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 Sean Roche was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.