JUSTIN T ROACH APRN, NP-C
NPI 1851950364
Nurse Practitioner - Family in Emporia, KS

Active since June 08, 2019PECOS EnrolledAccepts Medicare Assignment
1301 W 12TH AVE, EMPORIA, KS 66801(620) 343-2376(620) 343-5987 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 26, 2025, Jun 13, 2023, Jun 18, 2021 and 3 more (6 updates tracked since 2019).

About Justin T Roach Aprn, Np-c NPPES

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

JUSTIN T ROACH APRN, NP-C (NPI 1851950364) is an individual family provider in Emporia, Kansas, licensed in Kansas (53-78756-082) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Allen County Regional Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851950364
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN T ROACHCredential: APRN, NP-C
Location Address1301 W 12TH AVEEmporia, KS 66801-2587
Mailing Address1201 W 12th AveEmporia, KS 66801-2504 · (620) 343-2376 · Fax (620) 343-5987
Fax(620) 343-5987
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 8, 2019
Last NPPES UpdateJune 19, 20266 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
NPI 1851950364 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 KS · 53-78756-082
1301 W 12TH AVE, Emporia, KS 66801

Accepted Insurance

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

Justin T Roach Aprn, Np-c 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 ID1153658364
PECOS Enrollment IDI20190812001178
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 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.

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.
133 services97 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
30 services28 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
25 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services18 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Allen County Regional Hospital

Critical Access Hospitals · Iola, KS
OwnershipGovernment - State
CMS Certification Number171373
Location3066 North Kentucky StreetIola, KS 66749 · Allen County
Emergency services

Neosho Memorial Regional Medical Center

Critical Access Hospitals · Chanute, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171380
Location629 South PlummerChanute, KS 66720 · Neosho County
Emergency services

Newman Regional Health

Critical Access Hospitals · Emporia, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171384
Location1201 West 12th AvenueEmporia, KS 66801 · Lyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66801 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Surgery
1301 W 12TH AVE
EMPORIA, KS 66801
Family Medicine
1301 W 12TH AVE, SUITE 301
EMPORIA, KS 66801
Nurse Practitioner
1301 W 12TH AVE
EMPORIA, KS 66801
Physician Assistant
1301 W 12TH AVE, SUITE 105
EMPORIA, KS 66801
Nurse Practitioner
1301 W 12TH AVE, STE 401
EMPORIA, KS 66801
Family Medicine
1301 W 12TH AVE, SUITE 401
EMPORIA, KS 66801
Nurse Practitioner
1301 W 12TH AVE
EMPORIA, KS 66801
Internal Medicine
1301 W 12TH AVE, STE 202
EMPORIA, KS 66801

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 Justin Roach's NPI number?

The NPI number for Justin Roach is 1851950364. It was assigned to this individual provider in the NPPES registry on June 8, 2019.

Where is Justin Roach located?

Justin Roach practices at 1301 W 12th Ave, Emporia, KS 66801. The listed phone number is (620) 343-2376.

What is Justin Roach's specialty?

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

Is Justin Roach enrolled in Medicare?

Yes. Justin Roach 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.

What insurance does Justin Roach accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Justin Roach 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.

Is Justin Roach affiliated with any hospitals?

According to CMS data, Justin Roach is affiliated with Allen County Regional Hospital, Neosho Memorial Regional Medical Center and Newman Regional Health.

When was this NPI record last updated?

The NPPES record for Justin Roach was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.