Roth Family Medicine and Mental Health
NPI 1144168881ActiveOrganization· Nurse Practitioner· Pocatello, ID
Nurse Practitioner in Pocatello, Idaho, registered in NPPES in March 2026. The authorized official on file is Kyle Abraham Roth, FNP, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144168881 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 24, 2026 |
| Last updated in NPPES | Jun 11, 2026 |
| Certified by provider | Jun 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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