Kathryn Jill Roth, FNP-C - Medicare Nurse Practitioner in Pocatello, ID

  1. Home
  2. Nurse Practitioner
  3. ID
  4. Pocatello
Kathryn Jill Roth, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Pocatello, Idaho. Her current practice location is 1800 Flandro Dr, Ste 110, Pocatello, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 904-1544.

Kathryn Jill Roth is licensed to practice in Idaho (license number NP-1287A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467893289.

Contact Information

Kathryn Jill Roth, FNP-C
1800 Flandro Dr, Ste 110,
Pocatello, ID 83202-4936
(208) 904-1544
(208) 904-1052

Map and Direction




Provider's Profile

Full NameKathryn Jill Roth
GenderFemale
SpecialityNurse Practitioner - Family
Location1800 Flandro Dr, Pocatello, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467893289
  • Provider Enumeration Date: 07/09/2013
  • Last Update Date: 08/08/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0446572788
  • Enrollment ID: I20141124000574

Medical Identifiers

Medical identifiers for Kathryn Jill Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467893289NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP-1287A (Idaho)Primary

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. Kathryn Jill Roth allows following entities to bill medicare on her behalf.
Entity NameUtah Regional Hospitalists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740715507
PECOS PAC ID: 4789807165
Enrollment ID: O20170811001682
Entity NameRidgeline Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386110963
PECOS PAC ID: 5092054551
Enrollment ID: O20190227001380

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. Kathryn Jill 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
Kathryn Jill Roth, FNP-C
1800 Flandro Dr, Ste 110,
Pocatello, ID 83202-4936

Ph: (208) 242-3723		Kathryn Jill Roth, FNP-C
1800 Flandro Dr, Ste 110,
Pocatello, ID 83202-4936

Ph: (208) 904-1544

Reviews and Comments


Nurse Practitioner Nurses in Pocatello, ID

Jason Montgomery, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-239-2580    Fax: 208-239-2580
Kealee Arehart, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 444 Hospital Way Ste 777, Pocatello, ID 83201
Phone: 208-239-1650    
Travis Newsom, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-239-1750    
Dr. Christina Michelle Powers, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201
Phone: 208-239-3899    Fax: 208-232-2195
Ms. Amie Beth Kenyen, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 444 Hospital Way Ste 607, Pocatello, ID 83201
Phone: 208-589-3844    
Chelsey Aslett, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-239-1000    
Mrs. Codie M Robertson, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 Vista Dr, Pocatello, ID 83201
Phone: 208-234-2300    

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.