JUSTIN T ROACH (APRN, NP-C) – Family Nurse Practitioner, NPI 1851950364
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,551 NURSE PRACTITIONER in KS
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Provider Addresses for JUSTIN T ROACH (APRN, NP-C)
1624, South National Avenue, Fort Scott, Bourbon County, Kansas, 66701, United States
FORT SCOTT, KS 667012645
Phone: (620) 223-8428
Type: Location
2051 N STATE ST
IOLA, KS 667491677
Phone: (620) 380-6600
Type: Location
3015, North Michigan Street, Pittsburg, Crawford County, Kansas, 66762, United States
PITTSBURG, KS 667622546
Phone: (620) 240-5607
Type: Mailing
204 S MAIN ST
YATES CENTER, KS 667831444
Phone: (620) 625-2746
Fax: (888) 802-7094
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $301.
Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Organon LLC ($53).
Total Amount
$301
General + Research + Ownership
Payments
14
Total payment records
General Amount
$301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $53 |
| Lilly USA, LLC | $46 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $42 |
| ABBVIE INC. | $40 |
| Eisai Inc. | $37 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190812001178 | I | Nurse Practitioner | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 68 | 68 | $0 |
| 81003 | Automated urinalysis test | 49 | 44 | $0 |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 32 | 32 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 21 | 21 | $0 |
Insurance plans in this area (ZIP 66701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Clinical Nurse Specialist (Cns) | KS | |
| Clinical Psychologist | KS | |
| Physician Assistant | KS | |
| Mental Health Counselor | KS | |
| Family Practice | KS | |
| Clinical Psychologist | KS | |
| - | KS | |
| Clinical Social Worker | CA | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS |
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