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
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Kate Roth Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mary Kate Roth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19146
- Reassigned Medicare billing, Pennsylvania enrollment
- 752 clinicians in this Medicare group
Philadelphia, PA 19131
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,205 clinicians in this Medicare group
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 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.
Which organizations bill Medicare for Mary Kate Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kate Roth reassigns Medicare benefits to 2 organizations: University Of Penn - Medical Group (Philadelphia, PA) and Einstein Practice Plan Inc (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Kate Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Kate Roth accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mary Kate Roth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Penn - Medical Group (NPI 1114481504, Philadelphia, PA); Einstein Practice Plan Inc (NPI 1144272733, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
## 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.