GAVIN ROACHE (NP) – Adult Health Nurse Practitioner, NPI 1023425600

GAVIN ROACHE (NP) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. SP021669 (PA). The NPI Number for GAVIN ROACHE (NP) is 1023425600

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
GAVIN ROACHE (NP)
NPI
1023425600
Phone
(863) 370-9555
Address
111 S FRONT ST
Enumeration Date
16 July 2014
Last Update Date
16 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7179880000
Graduation Year
2019 (7 years ago)
PAC ID
3274962675
Group Practice PAC ID
0143124701
Professional Enrollment ID
I20200407000298
Address ID
PA171012010HA111XXSTXX420

Contacts

Secure Messaging
groache172004@phsdirect.pinnaclehealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

11,473 NURSE PRACTITIONER in PA

Provider Addresses for GAVIN ROACHE (NP)

  • 111 S FRONT ST

    HARRISBURG, PA 171012010

    Phone: (863) 370-9555

    Type: Mailing

  • 361 Alexander Spring Rd

    Carlisle, PA 170156940

    Phone: (717) 988-0000

    Type: Location

  • 300 Highland Ave

    Hanover, PA 173312297

    Phone: (717) 988-0000

    Type: Location

  • 4300 Londonderry Rd

    Harrisburg, PA 171095317

    Phone: (717) 988-0000

    Type: Location

  • 1995 Technology Pkwy

    Mechanicsburg, PA 170508522

    Phone: (717) 988-0000

    Type: Location

  • 1701 Innovation Dr

    York, PA 174088815

    Phone: (717) 988-0000

    Fax: (717) 782-5716

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200407000298INurse PractitionerPATBD
I20260313002273INurse PractitionerVATBD

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
99285Emergency department visit with high level of medical decision making129128$0
99284Emergency department visit with moderate level of medical decision making108105$0
99291Critical care, first 30-74 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 17101)

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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: 0143124701View full group profile
NameSpecialtyState
Emergency MedicinePA
-PA
-PA
Emergency MedicinePA
Emergency MedicineMD
Emergency MedicinePA
Emergency MedicinePA
Emergency MedicinePA
Emergency MedicinePA
Emergency MedicinePA

Reviews

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Frequently asked questions

What is the 10-digit NPI for GAVIN ROACHE (NP)?
GAVIN ROACHE (NP) — NPI 1023425600 — is the standard way to identify this listing.
Does the file indicate GAVIN ROACHE (NP) is practicing under active NPI?
Directory data currently reports GAVIN ROACHE (NP) as active.
What healthcare role does GAVIN ROACHE (NP) hold?
Scheduling teams often label GAVIN ROACHE (NP) under Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for GAVIN ROACHE (NP)?
GAVIN ROACHE (NP)'s geographic hint is Harrisburg, Pennsylvania in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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