KACIE ROTH CNP
NPI 1801419700
Nurse Practitioner - Psychiatric/Mental Health in Minneapolis, MN

Q: What is Kacie Roth's NPI number?

The NPI number for Kacie Roth is 1801419700. It was assigned to this individual provider in the NPPES registry on May 26, 2020.

Q: What is Kacie Roth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kacie Roth was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 26, 2020PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 273-4000 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2021, May 26, 2020 (2 updates tracked since 2020).

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About Kacie Roth Cnp NPPES

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

KACIE ROTH CNP (NPI 1801419700) is an individual psychiatric/mental health provider in Minneapolis, Minnesota, licensed in Minnesota (8473) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801419700

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKACIE ROTHCredential: CNP

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450

Phone(612) 273-4000

Sole ProprietorNo

Enumeration DateMay 26, 2020

Last NPPES UpdateNovember 17, 20212 updates tracked since enumeration

NPPES CertifiedNovember 17, 2021

✔ NPI 1801419700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MN · 8473

Also ListedRegistered NurseTaxonomy 163W00000X · License 2413226 (MN)

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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)

Kacie Roth Cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner