Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DIANA LYNETTE ROTH
NPI 1841736857
Nurse Practitioner - Family in Pittsfield, IL

Q: What is Diana Roth's NPI number?

The NPI number for Diana Roth is 1841736857. It was assigned to this individual provider in the NPPES registry on January 13, 2017.

Q: What is Diana Roth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Diana Roth was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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 January 13, 2017PECOS Enrolled

640 W WASHINGTON ST, PITTSFIELD, IL 62363(217) 285-5080(217) 285-2028 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Diana Lynette Roth NPPES

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

DIANA LYNETTE ROTH (NPI 1841736857) is an individual family provider in Pittsfield, Illinois, licensed in Illinois (209015451) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Illini Community Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1841736857

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDIANA LYNETTE ROTH

Location Address640 W WASHINGTON STPittsfield, IL 62363-1350

Mailing Address103 Leland Lake DrJacksonville, IL 62650-2690 · (217) 883-0428

Phone(217) 285-5080

Fax(217) 285-2028

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 13, 2017

Last NPPES UpdateOctober 21, 2026

NPPES CertifiedOctober 21, 2026

✔ NPI 1841736857 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 IL · 209015451

640 W WASHINGTON ST, Pittsfield, IL 62363

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Lynette Roth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517242456

PECOS Enrollment IDI20170316000875

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 Reassignment

Medicare enrollment records show Diana Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blessingcare Corporation

0.8 mi

Rural Health

321 W WASHINGTON ST
Pittsfield, IL 62363

Reassigned Medicare billing, Illinois enrollment
40 clinicians in this Medicare group

NPI 1710920129 (217) 285-9447

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

180 services145 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

40 services29 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

23 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Illini Community Hospital

Critical Access Hospitals · Pittsfield, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141315

Location640 W WashingtonPittsfield, IL 62363 · Pike County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62363 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

BLESSINGCARE CORPORATION

Surgery (Vascular Surgery)