MR. JAY EDWARD ROTH CRNP
NPI 1851615066
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Jay Roth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Reading, PA 19607
- Reassigned Medicare billing, Pennsylvania enrollment
- 137 clinicians in this Medicare group
Sinking Springs, PA 19608
- Reassigned Medicare billing, Pennsylvania enrollment
- 166 clinicians in this Medicare group
Harrisburg, PA 17101
- Reassigned Medicare billing, Pennsylvania enrollment
- 66 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.
Areas of Expertise CMS Part B claims 9
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.
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.
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.
Which organizations bill Medicare for Jay Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jay Roth reassigns Medicare benefits to 3 organizations: Silver Willow Wellness PC (Reading, PA), Vital Healthcare Solutions (Sinking Springs, PA) and Meditelecare Of Pennsylvania LLC (Harrisburg, 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 Jay Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jay Roth was last updated on March 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mr. Jay Edward Roth, CRNP · NPI 1851615066
Psychiatric/Mental Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 16, 2010.
## Identity
- **NPI:** 1851615066 (Entity type: Individual)
- **Enumerated:** March 16, 2010
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** SP010741 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 706 S 11TH ST, #3B, Philadelphia, PA 19147-1968
- **Phone:** (215) 913-7381
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Silver Willow Wellness PC (NPI 1659164697, Reading, PA); Vital Healthcare Solutions (NPI 1659736957, Sinking Springs, PA); Meditelecare Of Pennsylvania LLC (NPI 1396351847, Harrisburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** March 16, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1851615066) · Data from the CMS NPPES public registry.