Carley Michele Roth
NPI 1639034424ActiveIndividual· Nurse Practitioner· Fenton, MO
Nurse Practitioner in Fenton, Missouri, licensed in MO, with an NPI issued in December 2025. Enrolled in Medicare as practitioner - nurse practitioner. Novo Nordisk Inc reported $121.18 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1639034424 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 23, 2025 |
| Last updated in NPPES | Apr 21, 2026 |
| Certified by provider | Apr 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2026003319 | MO |
| Nurse Practitioner, Family | 363LF0000X | 2026003319 | MO |
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 Practitioner - Nurse Practitioner (MO) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
- 2025$121.18 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $121.18 | 1 |
What the 2025 payments were for
- Food and Beverage$121.18 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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