Active NPI
Elena M. Roach, CPNP
- Pediatric Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1629355284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP-12913
- Practice address
- 1401 Steffen Ave
Cincinnati, OH 45215-2338 - Phone
- (513) 588-3623
- Fax
- (513) 851-4809
- NPI assigned
- Nov 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 12913 | OH | |
| Pediatric Nurse Practitioner | 363LP0200X | NP-12913 | OH | Primary |
Addresses
Primary practice location
1401 Steffen Ave
Cincinnati, OH 45215-2338
Mailing address
1401 Steffen Ave
Cincinnati, OH 45215-2338
Phone (513) 588-3623
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP12913 | Other | OH | OH LICENSE |
| 0057745 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-12913 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Healthcare Connection, Inc | Current | Accepting new patients | |
| The Healthcare Connection, Inc. | Current | Accepting new patients |
Locations
1401 Steffen Ave
Cincinnati, OH 45215
Phone (513) 483-3092
100 Viking Way
Cincinnati, OH 45246
Phone (513) 588-3623
8146 Hamilton Ave
Cincinnati, OH 45231
Phone (513) 522-7500
924 Waycross Rd
Cincinnati, OH 45240
Phone (513) 588-3623
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- elena.roach.p7@direct.healthcareconnection.nextgenshare.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1053337675
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1922024553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1629355284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 STEFFEN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452152338",
"telephone_number": "513-588-3623",
"fax_number": "513-851-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 STEFFEN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452152338",
"telephone_number": "513-588-3623",
"fax_number": "513-851-4809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "ELENA",
"middle_name": "M.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-10",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "12913",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "NP-12913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH LICENSE",
"identifier": "NP12913",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0057745",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.