Individual provider Active NPI

Jeanine Root, ARNP, CRNP

  • Nurse Practitioner
  • Du Bois, PA
National Provider Identifier
1447674049
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP013693 Issued in PA
Practice address
621 S Main St
Du Bois, PA 15801-1413
Phone
(814) 371-0600
Fax
(814) 372-4764
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP70067675 WA
Nurse Practitioner 363L00000X SP013693 PA Primary
Nurse Practitioner 363L00000X 908192 MS

Addresses

Primary practice location

621 S Main St
Du Bois, PA 15801-1413

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-0600

Other practice location 1

7114 W Hood Pl
Kennewick, WA 99336-6712
Phone (509) 734-4885

Other practice location 2

209 Lilly Rd NE Ste B
Olympia, WA 98506-5030
Phone (360) 413-8250

Other practice location 3

11216 Sunrise Blvd E Ste 3-207
Puyallup, WA 98374-8848
Phone (253) 841-3933

Other practice location 4

501 N 34th St Ste 101
Seattle, WA 98103-8856
Phone (206) 838-1777

Other practice location 5

2200 NE Neff Rd Ste 302
Bend, OR 97701-4279
Phone (541) 706-6892

Other practice location 6

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-0600

Other practice location 7

2510 Lakeland Dr
Flowood, MS 39232-9513
Phone (601) 355-1234

Other practice location 8

21600 Highway 99 Ste 260
Edmonds, WA 98026-8049
Phone (425) 774-2650 ext. 7246

Other practice location 9

11800 NE 128th St Ste 100
Kirkland, WA 98034-7208
Phone (425) 899-4500

Other practice location 10

11027 Meridian Ave N Ste 100
Seattle, WA 98133-1705
Phone (206) 365-4492

Other identifiers 2

IdentifierTypeStateIssuer
345771OtherPAMEDICARE PTAN- INDIVIDUAL
103135518MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jroot225565@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, OR, WA, MS5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20140523000853 PA Practitioner - Nurse Practitioner 6406079284 Reassigns benefits to 2 organizations
I20250924004348 DE Practitioner - Nurse Practitioner 6406079284 Reassigns benefits to 1 organization
I20251204002394 OR Practitioner - Nurse Practitioner 6406079284 Reassigns benefits to 1 organization
I20260128001591 WA Practitioner - Nurse Practitioner 6406079284 Reassigns benefits to 2 organizations
I20260505004293 MS Practitioner - Nurse Practitioner 6406079284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians
Delaware Center for Digestive Care LLCGroup PAC ID 5890089353, 68 clinicians
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

1301 4TH Ave NW
Unit 303
Issaquah, WA 98027-9371
Phone (425) 270-6363

1703 S Meridian
Puyallup, WA 98371-7590
Phone (253) 841-3933

17700 SE 272ND St
Suite 420
Kent, WA 98042-4951
Phone (253) 639-9660

21600 Hwy 99
Suite 260
Edmonds, WA 98026-8049
Phone (425) 774-2650

2200 NE Neff Rd
Bend, OR 97701-4283
Phone (541) 382-4321

2202 S Cedar St
Suite 330
Tacoma, WA 98405-2318
Phone (253) 272-5127

2727 Hollycroft St
Suite 380
Gig Harbor, WA 98335-1346
Phone (253) 858-0112

3261 NW Mount Vintage Way
Suite 221
Silverdale, WA 98383-6039
Phone (360) 792-9118

33915 1St Way S
Federal Way, WA 98003-6396
Phone (253) 838-9839

4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 738-5300

621 S Main St
Penn Highlands Gastroenterology
Du Bois, PA 15801-1413
Phone (814) 371-0600

840 Town Ctr Dr
Langhorne, PA 19047-1748
Phone (215) 321-7221

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
908192MSMDNurse Practitioner
AP70067675WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midatlantic Endoscopy LLC Current Accepting new patients
Washington Gastroenterology PLLC CurrentSince Jan 14, 2026 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Apr 28, 2024 Accepting new patients
St. Charles Health System, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Jan 14, 2026 Accepting new patients
Dubois Regional Medical Center CurrentSince Apr 14, 2014 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Apr 28, 2024 Accepting new patients
Delaware Center for Digestive Care LLC CurrentSince Sep 1, 2025 Accepting new patients
St. Charles Health System, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Apr 14, 2014 Accepting new patients
Main Line Gastroenterology Associates, PC Past Accepting new patients
Puget Sound Gastroenterology, PLLC Past Accepting new patients
Washington Gastroenterology PLLC Past Accepting new patients

Locations

4745 Ogletown Stanton Rd
Ste 134
Newark, DE 19713
Phone (302) 452-3000

537 Stanton Christiana Rd
Newark, DE 19713
Phone (302) 225-2380

3411 Silverside Rd
Ste 102HG
Wilmington, DE 19810

29358 Network Pl
Chicago, IL 60673

2200 NE Neff Rd
Bend, OR 97701
Phone (541) 322-2323

2200 NE Neff Rd
Ste 302
Bend, OR 97701
Phone (541) 706-4220

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

1315 NW 4th St
Redmond, OR 97756
Phone (541) 388-2333

621 S Main St
Dubois, PA 15801
Phone (814) 299-7520

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

145 Hospital Ave
Ste 101
Dubois, PA 15801
Phone (814) 375-5305

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

840 Town Center Dr
Langhorne, PA 19047
Phone (215) 321-7221

325 Central Ave
Fl 2
Malvern, PA 19355

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

Interoperability endpoints

  • Direct secure messaging: jroot@1285.direct.myezyaccess.com

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1447674049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-371-0600",
            "fax_number": "814-372-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S MAIN ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011413",
            "telephone_number": "814-371-0600",
            "fax_number": "814-372-4764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7114 W Hood Pl",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993366712",
            "country_code": "US",
            "telephone_number": "509-734-4885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Lilly Rd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065030",
            "country_code": "US",
            "telephone_number": "360-413-8250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11216 Sunrise Blvd E Ste 3-207",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983748848",
            "country_code": "US",
            "telephone_number": "253-841-3933",
            "fax_number": "253-848-7970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N 34th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981038856",
            "country_code": "US",
            "telephone_number": "206-838-1777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 NE Neff Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977014279",
            "country_code": "US",
            "telephone_number": "541-706-6892",
            "fax_number": "541-706-6813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158011440",
            "country_code": "US",
            "telephone_number": "814-371-0600",
            "fax_number": "814-372-4764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329513",
            "country_code": "US",
            "telephone_number": "601-355-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21600 Highway 99 Ste 260",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980268049",
            "country_code": "US",
            "telephone_number": "425-774-2650 x7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11800 NE 128th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980347208",
            "country_code": "US",
            "telephone_number": "425-899-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11027 Meridian Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981331705",
            "country_code": "US",
            "telephone_number": "206-365-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOT",
        "first_name": "JEANINE",
        "credential": "ARNP, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP70067675",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013693",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "908192",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN- INDIVIDUAL",
            "identifier": "345771",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103135518",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jroot225565@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2200 NE Neff Rd Ste 302",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977014279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.