Individual provider Active NPI

Macie Roetting, FNP-C

  • Family Nurse Practitioner
  • Fairfield, OH
National Provider Identifier
1477934594
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA-17349 Issued in OH
Practice address
3000 Mack Rd
Fairfield, OH 45014-5335
Phone
(513) 603-8128
NPI assigned
Jun 15, 2015
Last updated
May 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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 COA-17349 OH Primary

Addresses

Primary practice location

3000 Mack Rd
Fairfield, OH 45014-5335

Mailing address

3000 Mack Rd
Fairfield, OH 45014-5335
Phone (513) 603-8128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150923000798 OH Practitioner - Nurse Practitioner 7315254323 Reassigns benefits to 8 organizations
I20230725002500 TN Practitioner - Nurse Practitioner 7315254323 Reassigns benefits to 2 organizations
I20240326000436 MD Practitioner - Nurse Practitioner 7315254323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Emergency Billing LLCGroup PAC ID 7810426947, 71 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33517TNMDPharmacist
COA-17349OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Ohio, LLC CurrentSince May 31, 2021 Accepting new patients
Hospitalist Medicine Physicians of Maryland-Frederick PC CurrentSince Feb 13, 2024 Accepting new patients
Usacs Critical Care Medicine Services of Ohio, LLC CurrentSince Oct 1, 2022 Accepting new patients
Emergency Medicine Physicians of Champaign County LTD CurrentSince May 28, 2021 Accepting new patients
Columbiana Emergency Physicians LLC CurrentSince Nov 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Ohio - Cincinnati Professional Corp CurrentSince Jan 16, 2025 Accepting new patients
Carr PLLC CurrentSince Jul 12, 2023 Accepting new patients
PHS Emergency Billing LLC CurrentSince Jan 1, 2025 Accepting new patients
Miami Valley Emergency Specialists, LLC CurrentSince May 11, 2024 Accepting new patients
Emergency Medicine Physicians of Cincinnati, LTD. CurrentSince Sep 10, 2015 Accepting new patients
T M Carr MD PC CurrentSince Jul 12, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

141 N Forge St
Akron, OH 44304
Phone (330) 375-3361

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

Organizations & group practices 12

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.

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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1477934594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-603-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-603-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROETTING",
        "first_name": "MACIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA-17349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.