✓ Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family (363LF0000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

KRISTINE LAUREN ROTH, NP (NPI #1487173175)

Nurse Practitioner, Family • SPRINGFIELD, MA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1487173175
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
2 MEDICAL CENTER DR STE 512, SPRINGFIELD, MA, 01107-1273
✓ 9-Digit EDI 837 ZIP+4 (01107-1273)
Practice Phone & Referral Fax
Fax: (413) 794-4212
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1487173175 (KRISTINE LAUREN ROTH, NP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1487173175)

Medicare Beneficiaries
94
Total Billed Services
162
Distinct CPT/HCPCS Codes
10
Medicare Allowed Total
$18,644.26

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes28
99239 Hospital discharge day management, more than 30 minutes41
99291 Critical care, first 30-74 minutes44

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Amiodarone Hcl
Amiodarone Hcl
1818
Atorvastatin Calcium
Atorvastatin Calcium
1111
Furosemide
Furosemide
1212
Metoprolol Tartrate
Metoprolol Tartrate
1616

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1487173175 (NPI-1 Individual Practitioner)
Provider / Legal NameKRISTINE LAUREN ROTH, NP
Plain-English SpecialtyLicensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
NUCC Code: 363LF0000X (Nurse Practitioner, Family)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address2 MEDICAL CENTER DR STE 512, SPRINGFIELD, MA, 01107-1273
Practice Telephone / FaxTel: (413) 794-5550 | Fax: (413) 794-4212
Administrative Mailing Address280 CHESTNUT STREET, SPRINGFIELD, MA, 01199-1001
Enumeration & Last SyncEnumerated: 2017-09-13 | CMS Record Updated: 2022-09-14

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2 MEDICAL CENTER DR STE 512, SPRINGFIELD, MA, 01107-1273

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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)

What Does Taxonomy Code 363LF0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Family for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KRISTINE LAUREN ROTH, NP)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
363LF0000X — Nurse Practitioner, Family
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
State: MA | License: RN2275284 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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