MRS. JENNIFER M ROTH CRNP
NPI 1679977185
Nurse Practitioner - Pediatrics in Baltimore, MD

Q: What is Jennifer Roth's NPI number?

The NPI number for Jennifer Roth is 1679977185. It was assigned to this individual provider in the NPPES registry on October 13, 2014.

Q: What is Jennifer Roth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Roth was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 October 13, 2014PECOS Enrolled

1800 ORLEANS ST, BLOOMBERG 7308, BALTIMORE, MD 21287(410) 955-2914 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Jennifer M Roth Crnp NPPES

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

MRS. JENNIFER M ROTH CRNP (NPI 1679977185) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (R150450) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1679977185

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. JENNIFER M ROTHCredential: CRNP

Location Address1800 ORLEANS ST, BLOOMBERG 7308Baltimore, MD 21287-2101

Mailing Address1800 Orleans St, Bloomberg 7308Baltimore, MD 21287-2101 · (410) 955-2914

Phone(410) 955-2914

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 13, 2014

✔ NPI 1679977185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in MD · R150450

1800 ORLEANS ST, Baltimore, MD 21287

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer M Roth Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678063542

PECOS Enrollment IDI20251107003827

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

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