Individual provider Active NPI

Elena M. Roach, CPNP

  • Pediatric Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1629355284
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NP-12913 Issued in OH
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

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NP12913OtherOHOH LICENSE
0057745MedicaidOH

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
I20131127000994 OH Practitioner - Nurse Practitioner 7214163013 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-12913OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Healthcare Connection, Inc Current Accepting new patients
The Healthcare Connection, Inc. CurrentSince Jun 20, 2023 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.