| Elyssa Lynn Roth, CNP | |
|
2195 Allentown Rd, Lima, OH 45805-1705 | |
| (419) 227-2245 | |
| Not Available |
| Full Name | Elyssa Lynn Roth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2195 Allentown Rd, Lima, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992410468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | RN.463288 (Ohio) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.0033090 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Mercer County Joint Township Community Hospital | Coldwater, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Lima Specialty Care Llc | 7012332364 | 229 |
| Mercer County Joint Township Community Hospital | 8820081755 | 59 |
| Entity Name | Mercer County Joint Township Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497784144 PECOS PAC ID: 8820081755 Enrollment ID: O20040406001632 |
| Entity Name | Mercy Health Physicians Lima, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225292865 PECOS PAC ID: 3375607351 Enrollment ID: O20090206000102 |
| Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
| Mailing Address | Practice Location Address |
|---|---|
| Elyssa Lynn Roth, CNP 18906 Bebb St, Venedocia, OH 45894-9646 Ph: (567) 644-5847 | Elyssa Lynn Roth, CNP 2195 Allentown Rd, Lima, OH 45805-1705 Ph: (419) 227-2245 |
Stacy Jo Klass, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Bellefontaine Ave, Suite 100, Lima, OH 45804 Phone: 419-227-5298 Fax: 419-227-5879 | |
Jocelyn Leigh Sherman, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Bellefontaine Ave Ste 245, Lima, OH 45804 Phone: 419-998-8230 | |
Logan Michael Rieman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Medical Dr Ste A, Lima, OH 45804 Phone: 419-222-6622 Fax: 419-224-0015 | |
Holly A Archer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2195 Allentown Rd, Lima, OH 45805 Phone: 419-227-2245 Fax: 419-229-1573 | |
Cassandra Baumgartner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 441 E 8th St, Lima, OH 45804 Phone: 419-221-3072 | |
Jessica A Dailey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 N Cable Rd, Lima, OH 45805 Phone: 419-228-2600 Fax: 419-228-1100 | |
Mrs. Ruth Ann Grothouse, C-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 W High St, Suite 300, Lima, OH 45801 Phone: 419-229-6781 Fax: 419-229-3490 |