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MR. JAY EDWARD ROTH CRNP
NPI 1851615066
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since March 16, 2010PECOS EnrolledAccepts Medicare Assignment
706 S 11TH ST, #3B, PHILADELPHIA, PA 19147(215) 913-7381 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jay Edward Roth Crnp NPPES

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

MR. JAY EDWARD ROTH CRNP (NPI 1851615066) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP010741) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1851615066
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JAY EDWARD ROTHCredential: CRNP
Location Address706 S 11TH ST, #3BPhiladelphia, PA 19147-1968
Mailing Address706 S 11th St, #3bPhiladelphia, PA 19147-1968 · (215) 913-7381
Phone(215) 913-7381
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 16, 2010
✔ NPI 1851615066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP010741
706 S 11TH ST, Philadelphia, PA 19147
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jay Edward Roth Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890828305
PECOS Enrollment IDI20100804001077
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.

Areas of Expertise CMS Part B claims 10

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.

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
729 services243 patients
Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
450 services195 patients
Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
431 services172 patients
Initial nursing facility visit per day, typically 45 minutes 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
158 services157 patients
Established patient custodial care facility, group care, or assisted living visit, typically 1 hour 99337
This service involves a healthcare professional visiting an established patient in a group care facility or assisted living for about an hour. The visit may include health checks, medication management, and addressing any health concerns to maintain the patient's well-being.
55 services26 patients
New patient custodial care facility, group care, or assisted living visit, typically 75 minutes 99328
This service involves an initial visit to a new patient in a custodial care facility, group care, or assisted living. The visit typically lasts 75 minutes and focuses on assessing the patient's health status, understanding their needs, and planning their ongoing care.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19147 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Jay Roth's NPI number?

The NPI number for Jay Roth is 1851615066. It was assigned to this individual provider in the NPPES registry on March 16, 2010.

Where is Jay Roth located?

Jay Roth practices at 706 S 11th St #3b, Philadelphia, PA 19147. The listed phone number is (215) 913-7381.

What is Jay Roth's specialty?

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

Is Jay Roth enrolled in Medicare?

Yes. Jay Roth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jay Roth was last updated on March 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.