Joy Marie Roth, FNP-C - Medicare Nurse Practitioner in Sioux Falls, SD

Joy Marie Roth, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sioux Falls, South Dakota. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Avera Mckennan and her current practice location is 1417 S Cliff Ave Ste 401, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 322-8920.

Joy Marie Roth is licensed to practice in South Dakota (license number CP001593) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164084190.

Contact Information

Joy Marie Roth, FNP-C
1417 S Cliff Ave Ste 401,
Sioux Falls, SD 57105-1064
(605) 322-8920
Not Available

Map and Direction




Provider's Profile

Full NameJoy Marie Roth
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1417 S Cliff Ave Ste 401, Sioux Falls, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Joy Marie Roth graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1164084190
  • Provider Enumeration Date: 06/29/2019
  • Last Update Date: 06/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1052640216
  • Enrollment ID: I20190912003140

Medical Identifiers

Medical identifiers for Joy Marie Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164084190NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CP001593 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera Mckennan Hospital & University Health CenterSioux falls, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avera Mckennan0345157103833

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Joy Marie Roth allows following entities to bill medicare on her behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joy Marie Roth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Joy Marie Roth, FNP-C
1417 S Cliff Ave Ste 401,
Sioux Falls, SD 57105-1064

Ph: () -
Joy Marie Roth, FNP-C
1417 S Cliff Ave Ste 401,
Sioux Falls, SD 57105-1064

Ph: (605) 322-8920

Reviews and Comments


Nurse Practitioner Nurses in Sioux Falls, SD

Paul Stamp, NP-C
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Phone: 605-322-8860    
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Phone: 605-328-5800    
Mariah Schurman, CNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1301 W 18th St, Sioux Falls, SD 57105
Phone: 605-312-2100    
Dillon Matthew Hansen, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1301 S Cliff Ave # 2, Sioux Falls, SD 57105
Phone: 605-322-7020    
Chelsey Zondervan, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1309 W 17th St, Sioux Falls, SD 57104
Phone: 605-328-8000    Fax: 605-328-8001
Mrs. Donna Lynn Sebesta, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1900 S Grandview Ave, Sioux Falls, SD 57103
Phone: 605-371-3436    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.