NPIMap

Individual provider Active NPI

Renee L Roth, CNP

  • Nurse Practitioner
  • Astoria, OR
National Provider Identifier
1295975266
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10027557 Issued in OR
Practice address
1905 Exchange Street
Astoria, OR 97103
Phone
(503) 338-4085
Fax
(503) 338-4086
NPI assigned
Mar 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10027557 OR Primary

Addresses

Primary practice location

1905 Exchange Street
Astoria, OR 97103

Mailing address

2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017003038 OR Practitioner - Nurse Practitioner 3577616853 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Lutheran CharitiesGroup PAC ID 5294643359, shared by 8 NPIs, 110 clinicians

Practice addresses (Care Compare)

1905 Exchange St
Astoria, OR 97103
Phone (503) 338-4085

Hospital & facility affiliations

  • Columbia Memorial Hospital Hospital, Astoria, OR, CCN 381320
  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
  • Ocean Beach Hospital Hospital, Ilwaco, WA, CCN 501314
  • Providence Seaside Hospital Hospital, Seaside, OR, CCN 381303

Merit-based Incentive Payment System (MIPS)

Final score
92.24 of 100Reported as group
Quality
84.11
Promoting interoperability
100
Improvement activities
40
Cost
85.12

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as group
Quality
69.6
Promoting interoperability
100
Improvement activities
40
Cost
76.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA10617NPOHMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospital District CurrentSince Oct 1, 2024 Accepting new patients
Bay Area Hospital District CurrentSince Oct 1, 2024 Accepting new patients
Columbia Lutheran Charities CurrentSince Apr 1, 2025 Accepting new patients
Columbia Lutheran Charities CurrentSince Apr 1, 2025 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Clinton Memorial Hospital of Wilmington Clinton County Ohio Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

2265 Exchange St
Astoria, OR 97103
Phone (503) 338-4075

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

Organizations & group practices 8

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 8

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": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1295975266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033329",
            "telephone_number": "503-325-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 EXCHANGE STREET",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "97103",
            "telephone_number": "503-338-4085",
            "fax_number": "503-338-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "RENEE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10027557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.