Jennifer L Roth, FNP-C - Medicare Nurse Practitioner in Baraboo, WI

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Jennifer L Roth, FNP-C is a medicare enrolled "Family Medicine" in Baraboo, Wisconsin. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Wisconsin Emergency Associates Sc, Stoughton Hospital Association and her current practice location is 1700 Tuttle St, Baraboo, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 355-3800.

Jennifer L Roth is licensed to practice in Arizona (license number 248734) 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 1902495468.

Contact Information

Jennifer L Roth, FNP-C
1700 Tuttle St,
Baraboo, WI 53913-3319
(608) 355-3800
(608) 355-7001

Map and Direction




Provider's Profile

Full NameJennifer L Roth
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1700 Tuttle St, Baraboo, Wisconsin
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:
  • Jennifer L Roth graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1902495468
  • Provider Enumeration Date: 01/11/2021
  • Last Update Date: 03/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6608280102
  • Enrollment ID: I20220310001768

Medical Identifiers

Medical identifiers for Jennifer L Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902495468NPI-NPPES
1902495468MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 11004-33 (Wisconsin)Secondary
207Q00000XFamily Medicine 248734 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Stoughton HospitalStoughton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Wisconsin Emergency Associates Sc327456105547
Stoughton Hospital Association701282570666

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. Jennifer L Roth allows following entities to bill medicare on her behalf.
Entity NameEdgerton Hospital and Health Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154350049
PECOS PAC ID: 7719874502
Enrollment ID: O20040304000743
Entity NameStoughton Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679558647
PECOS PAC ID: 7012825706
Enrollment ID: O20040402001358
Entity NameSouthern Wisconsin Emergency Associates SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568538189
PECOS PAC ID: 3274561055
Enrollment ID: O20050802000934
Entity NameStoughton Hospital Association
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1679558647
PECOS PAC ID: 7012825706
Enrollment ID: O20100106000471
Entity NameEdgerton Hospital and Health Services, Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1154350049
PECOS PAC ID: 7719874502
Enrollment ID: O20110318000342
Entity NameSwea Fort SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295552065
PECOS PAC ID: 0345774972
Enrollment ID: O20241105002772

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. Jennifer L 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
Jennifer L Roth, FNP-C
1700 Tuttle St,
Baraboo, WI 53913-3319

Ph: (608) 355-3800		Jennifer L Roth, FNP-C
1700 Tuttle St,
Baraboo, WI 53913-3319

Ph: (608) 355-3800

Reviews and Comments



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.