MR. ROOSEVELT HEZEKIAH WORTHAM-FLORENCE NP
NPI 1780132852
Nurse Practitioner - Family in Middletown, OH

Q: What is Roosevelt Wortham-florence's NPI number?

The NPI number for Roosevelt Wortham-florence is 1780132852. It was assigned to this individual provider in the NPPES registry on September 16, 2016.

Q: What is Roosevelt Wortham-florence's specialty?

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

Active since September 16, 2016PECOS Enrolled

3420 ATRIUM BLVD STE 160, MIDDLETOWN, OH 45005(937) 321-0002(937) 637-5251 Get Directions Write a Review

NPPES record last updated: April 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 12, 2026, Jan 15, 2026, Jan 5, 2026 and 7 more (10 updates tracked since 2016).

On this page

About Mr. Roosevelt Hezekiah Wortham-florence Np NPPES

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

MR. ROOSEVELT HEZEKIAH WORTHAM-FLORENCE NP (NPI 1780132852) is an individual family provider in Middletown, Ohio, licensed in Ohio (APRN.CNP.0029130) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780132852

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. ROOSEVELT HEZEKIAH WORTHAM-FLORENCECredential: NP

Location Address3420 ATRIUM BLVD STE 160Middletown, OH 45005-5186

Mailing Address3420 Atrium Blvd Ste 160Middletown, OH 45005-5186 · (937) 321-0002 · Fax (937) 637-5251

Phone(937) 321-0002

Fax(937) 637-5251

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 16, 2016

Last NPPES UpdateApril 12, 202610 updates tracked since enumeration

NPPES CertifiedApril 12, 2026

✔ NPI 1780132852 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.0029130

3420 ATRIUM BLVD STE 160, Middletown, OH 45005

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Roosevelt Hezekiah Wortham-florence Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294120366

PECOS Enrollment IDI20260204003179, I20260302000970

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 Roosevelt Wortham-florence reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wortham & Florence Enterprises LLC

Same address

Family

3420 ATRIUM BLVD STE 160
Middletown, OH 45005

Reassigned Medicare billing, Ohio enrollment

NPI 1477441681 (937) 321-0002

Brookview Medical Associates, PLLC

600 mi

General Practice

80 ORVILLE DR STE 100
Bohemia, NY 11716

Reassigned Medicare billing, New York enrollment
754 clinicians in this Medicare group

NPI 1871965855 (972) 715-3800

Signify Health, LLC

833 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Kentucky, Maine and Ohio enrollments
390 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

Signify Health Medical Associates, PLLC

833 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Arkansas, Maryland, Nebraska and Texas enrollments
354 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

Signify Health Medical Associates Of California, PC

2,049 mi

General Practice

505 MONTGOMERY ST, FL 10 & 11
San Francisco, CA 94111

Reassigned Medicare billing, California enrollment
407 clinicians in this Medicare group

NPI 1124685169 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45005 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 8

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

FORWARD FOCUS ABA LLC

Behavior Analyst