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Kerrie Shea Roth, NP

NPI 1467157297ActiveIndividual· Nurse Practitioner, Family· Commack, NY

Nurse Practitioner, Family (NP) with Mskcc Regional Network and 1 other group, practicing in Commack, New York. Enrolled in Medicare as practitioner - nurse practitioner.

Overview

NPI1467157297
StatusActive
Entity typeIndividual
CredentialNP
Sole proprietorNo
NPI issuedApr 3, 2023
Last updated in NPPESDec 26, 2024
Certified by providerDec 26, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X350446NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (NY)

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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