Kyle A Roth, NP - Medicare Nurse Practitioner in Pocatello, ID

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Kyle A Roth, NP is a medicare enrolled "Nurse Practitioner - Family" in Pocatello, Idaho. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 444 Hospital Way Ste 422, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 423-8132.

Kyle A Roth is licensed to practice in Idaho (license number 4271998) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1659238822.

Contact Information

Kyle A Roth, NP
444 Hospital Way Ste 422,
Pocatello, ID 83201-2744
(208) 423-8132
(208) 203-6420

Map and Direction




Provider's Profile

Full NameKyle A Roth
GenderMale
SpecialityNurse Practitioner
Experience1 Years
Location444 Hospital Way Ste 422, Pocatello, Idaho
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kyle A Roth graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1659238822
  • Provider Enumeration Date: 01/08/2026
  • Last Update Date: 06/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7315421864
  • Enrollment ID: I20260323001994

Medical Identifiers

Medical identifiers for Kyle A Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659238822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4271998 (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. Kyle A Roth allows following entities to bill medicare on his behalf.
Entity NameTruhealth LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063843951
PECOS PAC ID: 2163653478
Enrollment ID: O20220207001428
Entity NameRoth Family Medicine and Mental Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144168881
PECOS PAC ID: 1951878701
Enrollment ID: O20260429001971

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. Kyle A 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
Kyle A Roth, NP
444 Hospital Way Ste 422,
Pocatello, ID 83201-2744

Ph: (208) 423-8132		Kyle A Roth, NP
444 Hospital Way Ste 422,
Pocatello, ID 83201-2744

Ph: (208) 423-8132

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: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-239-1750    
Joshua Simms Pulliam, PNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1151 Hospital Way Bldg F, Pocatello, ID 83201
Phone: 202-232-1443    
Dr. Christina Michelle Powers, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
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: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-239-1000    

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.