MARY A ROTH (FNP) – Family Nurse Practitioner, NPI 1467618785

MARY A ROTH (FNP) is a healthcare provider. based in Marshall, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 149803 (MO). The NPI Number for MARY A ROTH (FNP) is 1467618785

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MARY A ROTH (FNP)
NPI
1467618785
Phone
(660) 886-7800
Address
2301 SOUTH 65 HIGHWAY
Enumeration Date
6 August 2008
Last Update Date
20 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
2062580335
Group Practice PAC ID
6103714126
Professional Enrollment ID
I20081014000542
Address ID
MO653012540SE3700XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for MARY A ROTH (FNP)

  • 65, Marshall Drive, Stapleford, Bramcote, Nottingham, Nottinghamshire, East Midlands, England, NG9 3LE, United Kingdom

    MARSHALL, MO 653403702

    Phone: (660) 886-7800

    Fax: (660) 831-3328

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2023-08-15 • Largest payer in this snapshot: Boston Scientific Corporation ($37).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-10-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081014000542INurse PractitionerMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9992$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)4342$0
87502Detection test by nucleic acid for multiple types influenza virus2424$0
81003Automated urinalysis test1917$0
View full utilization report →

Insurance plans in this area (ZIP 65340)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103714126View full group profile
NameSpecialtyState
Internal MedicineMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO
A N E S T H E S I O L O G YKS
A N E S T H E S I O L O G YMO
Hematology/Oncology, Internal MedicineMO
Certified Clinical Nurse Specialist (Cns)MO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

How do payers reference MARY A ROTH (FNP)?
For MARY A ROTH (FNP), use NPI 1467618785 as the unique 10-digit identifier.
Is MARY A ROTH (FNP) still an active registrant?
MARY A ROTH (FNP) carries an active NPI according to the public dataset.
What clinical focus is listed for MARY A ROTH (FNP)?
At a glance, MARY A ROTH (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARY A ROTH (FNP)?
Travel planning: use Marshall, Missouri as the reference point for MARY A ROTH (FNP), then confirm.
Can I trust this NPI listing for MARY A ROTH (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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