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: August 16, 2026.

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

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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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

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