LINDSEY ANN ROTH (NP) – Family Nurse Practitioner, NPI 1053662262
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LINDSEY ANN ROTH (NP)
3495 S CENTER RD
BURTON, MI 485191455
Phone: (810) 424-2011
Fax: (810) 249-4037
Type: Mailing
8483 HOLLY RD
GRAND BLANC, MI 484391840
Phone: (810) 694-7955
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $441.
Total Amount is formed as General ($441) + Research ($0) + Ownership ($0) = $441.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($260).
Total Amount
$441
General + Research + Ownership
Payments
8
Total payment records
General Amount
$441
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $260 |
| Sage Therapeutics, Inc. | $120 |
| Novo Nordisk Inc | $61 |
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: 2012-12-01
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 |
|---|---|---|---|---|
| I20121201000067 | I | Nurse Practitioner | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48519)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Occupational Therapist In Private Practice | MI | |
| Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Mental Health Counselor | AL | |
| Physician Assistant | MI |
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