Individual provider Active NPI

John Roof, FNP-C

  • Family Nurse Practitioner
  • Wooster, OH
National Provider Identifier
1275067670
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02170860 Issued in OH
Practice address
1761 Beall Ave Ste 3a
Wooster, OH 44691-2342
Phone
(330) 202-5700
Fax
(330) 202-5701
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02170860 OH Primary

Addresses

Primary practice location

1761 Beall Ave Ste 3a
Wooster, OH 44691-2342

Mailing address

2440 Kenyon Ave NW
Massillon, OH 44647-9517
Phone (330) 705-2294

Other identifiers 1

IdentifierTypeStateIssuer
0224745MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170620001976 OH Practitioner - Nurse Practitioner 6204104094 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomington Medical Services LLCGroup PAC ID 9032297627, 106 clinicians

Practice addresses (Care Compare)

128 E Milltown Rd
Wooster, OH 44691-1276

1761 Beall Ave
Wooster, OH 44691-2342

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
59.24
Promoting interoperability
99
Improvement activities
40
Cost
78.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F02170860OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Medical Services LLC CurrentSince Jun 5, 2017 Accepting new patients
Pinnacle Care Providers, LLC Family CurrentSince Aug 4, 2025 Accepting new patients
Skill Doc 101, LLC CurrentSince Aug 5, 2025 Accepting new patients
Pai Participant 1 LLC CurrentSince Sep 14, 2025 Accepting new patients

Locations

11750 Klinger Ave NE
Alliance, OH 44601
Phone (330) 823-8263

236 3rd St SW
Canton, OH 44702
Phone (330) 754-4431

800 Market Ave N
Ste 1560
Canton, OH 44702
Phone (330) 456-1014

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

1761 Beall Ave
Ste A3
Wooster, OH 44691

1761 Beall Ave
Ste 3A
Wooster, OH 44691
Phone (330) 202-5700

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1275067670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 KENYON AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446479517",
            "telephone_number": "330-705-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE STE 3A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-202-5700",
            "fax_number": "330-202-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOF",
        "first_name": "JOHN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F02170860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0224745",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.