AMY ROTH (CRNP) – Family Nurse Practitioner, NPI 1164964979

AMY ROTH (CRNP) is a healthcare provider. based in Bethlehem, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP016823 (PA). The NPI Number for AMY ROTH (CRNP) is 1164964979

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
AMY ROTH (CRNP)
NPI
1164964979
Phone
(484) 526-6048
Address
801 OSTRUM ST
Enumeration Date
10 November 2016
Last Update Date
5 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6108381010
Graduation Year
2016 (10 years ago)
PAC ID
0446534408
Group Practice PAC ID
6709798333
Professional Enrollment ID
I20170313000306
Address ID
PA180551780HE255XXSTXX300
Telehealth
Yes
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

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Provider Addresses for AMY ROTH (CRNP)

  • Saint Luke's University Hospital - Bethlehem Campus, 801, Ostrum Street, Bethlehem, Lehigh County, Pennsylvania, 18015, United States

    BETHLEHEM, PA 180151000

    Phone: (484) 526-6048

    Fax: (484) 526-6500

    Type: Mailing

  • 255, Front Street, Hellertown, Northampton County, Pennsylvania, 18055, United States

    HELLERTOWN, PA 180551780

    Phone: (484) 526-5255

    Fax: (610) 838-6285

    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: 2017-03-13

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
I20170313000306INurse PractitionerPATBD

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 minutes269158$0
99213Established patient office or other outpatient visit, 20-29 minutes238184$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit116116$0
G0008Administration of influenza virus vaccine4040$0
90662Influenza vaccine split virus, preservative free4040$0
View full utilization report →

Insurance plans in this area (ZIP 18015)

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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: 6709798333View full group profile

Reviews

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Frequently asked questions

What NPI should I save for AMY ROTH (CRNP)?
Save NPI 1164964979 if you need a stable reference for AMY ROTH (CRNP).
Is AMY ROTH (CRNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does AMY ROTH (CRNP) work in?
You can think of AMY ROTH (CRNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for AMY ROTH (CRNP)?
We surface Bethlehem, Pennsylvania for AMY ROTH (CRNP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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