JENNIFER L ROTH FNP-C
NPI 1902495468
Family Medicine in Baraboo, WI

Active since January 11, 2021PECOS EnrolledAccepts Medicare Assignment
1700 TUTTLE ST, BARABOO, WI 53913(608) 355-3800(608) 355-7001 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2022, Jan 11, 2021 (2 updates tracked since 2021).

About Jennifer L Roth Fnp-c NPPES

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

JENNIFER L ROTH FNP-C (NPI 1902495468) is an individual family medicine provider in Baraboo, Wisconsin, licensed in Arizona (248734) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Stoughton Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902495468
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNIFER L ROTHCredential: FNP-C
Location Address1700 TUTTLE STBaraboo, WI 53913-3319
Mailing Address1700 Tuttle StBaraboo, WI 53913-3319 · (608) 355-3800 · Fax (608) 355-7001
Fax(608) 355-7001
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 11, 2021
Last NPPES UpdateMarch 2, 20222 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
NPI 1902495468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 248734
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11004-33 (WI)
1700 TUTTLE ST, Baraboo, WI 53913

Other Names 1

Former Name (1)Jennifer Lee Matyskela

Other Identifiers 1

Medicaid1902495468WI

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

Jennifer L Roth Fnp-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 ID6608280102
PECOS Enrollment IDI20220310001768
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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services35 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
34 services33 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services17 patients

Hospital Affiliations CMS Care Compare

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

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53913 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Advanced Practice Midwife
1700 TUTTLE ST
BARABOO, WI 53913
Internal Medicine (Addiction Medicine)
1700 TUTTLE ST
BARABOO, WI 53913
Student in an Organized Health Care Education/Training Program
1700 TUTTLE ST
BARABOO, WI 53913
Pharmacist
1700 TUTTLE ST, SUITE 300
BARABOO, WI 53913
Family Medicine
1700 TUTTLE ST
BARABOO, WI 53913
Family Medicine
1700 TUTTLE ST
BARABOO, WI 53913
Physician Assistant
1700 TUTTLE ST
BARABOO, WI 53913
Family Medicine
1700 TUTTLE ST
BARABOO, WI 53913

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 Jennifer Roth's NPI number?

The NPI number for Jennifer Roth is 1902495468. It was assigned to this individual provider in the NPPES registry on January 11, 2021. The provider is also known as Jennifer Lee Matyskela.

Where is Jennifer Roth located?

Jennifer Roth practices at 1700 Tuttle St, Baraboo, WI 53913. The listed phone number is (608) 355-3800.

What is Jennifer Roth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jennifer Roth enrolled in Medicare?

Yes. Jennifer 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.

What insurance does Jennifer Roth accept?

Health plans from Group Health Cooperative-SCW list Jennifer 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.

Is Jennifer Roth affiliated with any hospitals?

According to CMS data, Jennifer Roth is affiliated with Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Roth was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.