MARY KATE ROTH CRNP
NPI 1821784737
Nurse Practitioner - Critical Care Medicine in Philadelphia, PA
About Mary Kate Roth Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY KATE ROTH CRNP (NPI 1821784737) is an individual critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP027437) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Kate Roth Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 Mary Kate Roth's NPI number?
The NPI number for Mary Kate Roth is 1821784737. It was assigned to this individual provider in the NPPES registry on April 13, 2023.
Where is Mary Kate Roth located?
Mary Kate Roth practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-6060.
What is Mary Kate Roth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.
Is Mary Kate Roth enrolled in Medicare?
Yes. Mary Kate Roth is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Kate Roth was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mary Kate Roth, CRNP · NPI 1821784737
Critical Care Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 13, 2023.
## Identity
- **NPI:** 1821784737 (Entity type: Individual)
- **Enumerated:** April 13, 2023
- **Primary specialty:** Nurse Practitioner - Critical Care Medicine · taxonomy 363LC0200X
- **State license:** SP027437 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 S 11TH ST, Philadelphia, PA 19107-4824
- **Phone:** (215) 955-6060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1821784737) · Data from the CMS NPPES public registry.