KRISTINA RENEE ROESCH (CNP) – Nurse Practitioner, NPI 1871884494

KRISTINA RENEE ROESCH (CNP) is a healthcare provider. based in Conneaut, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. APRN.CNP.026284 (OH). The NPI Number for KRISTINA RENEE ROESCH (CNP) is 1871884494

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA RENEE ROESCH (CNP)
NPI
1871884494
Phone
(440) 593-0220
Address
158 W MAIN RD
Enumeration Date
30 April 2011
Last Update Date
18 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2163830100
Graduation Year
2019 (7 years ago)
PAC ID
4385050434
Group Practice PAC ID
3072417534
Professional Enrollment ID
I20210315002530
Address ID
OH440302057CO167XXFXXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KRISTINA RENEE ROESCH (CNP)

  • 158 W MAIN RD

    CONNEAUT, OH 440302039

    Phone: (440) 593-0220

    Type: Location

  • 346 N AMBOY RD

    CONNEAUT, OH 440303094

    Phone: (440) 994-9471

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $217.

Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($121).

Total Amount

$217

General + Research + Ownership

Payments

6

Total payment records

General Amount

$217

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

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: 2021-03-15

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
I20210315002530INurse PractitionerOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes224168$0
99213Established patient office or other outpatient visit, 20-29 minutes7360$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7070$0
G0008Administration of influenza virus vaccine2222$0
90662Influenza vaccine split virus, preservative free2121$0
View full utilization report →

Insurance plans in this area (ZIP 44030)

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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: 3072417534View full group profile

Reviews

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Frequently asked questions

What identifier follows KRISTINA RENEE ROESCH (CNP) across health systems?
The NPI 1871884494 uniquely identifies KRISTINA RENEE ROESCH (CNP) in U.S. healthcare data.
Is KRISTINA RENEE ROESCH (CNP)'s NPI status active today?
Active status means KRISTINA RENEE ROESCH (CNP)'s NPI record is not deactivated in the public file.
How should patients interpret KRISTINA RENEE ROESCH (CNP)'s specialty?
The extract shows Nurse Practitioner for KRISTINA RENEE ROESCH (CNP). Clinical services aligned with this taxonomy classification.
What city is tied to KRISTINA RENEE ROESCH (CNP)?
The directory associates KRISTINA RENEE ROESCH (CNP) with Conneaut, Ohio. Check all listed addresses for suites or satellite offices.
Can I export KRISTINA RENEE ROESCH (CNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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