Individual provider Active NPI

Caitlin Roth, CNP

  • Nurse Practitioner
  • Archbold, OH
National Provider Identifier
1730595125
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.15806 Issued in OH
Practice address
121 Westfield Dr Ste 1
Archbold, OH 43502-1005
Phone
(419) 445-2015
Fax
(419) 445-8102
NPI assigned
Jul 7, 2014
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 APRN.CNP.15806 OH Primary

Addresses

Primary practice location

121 Westfield Dr Ste 1
Archbold, OH 43502-1005

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address croth674121@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

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
I20140815001808 OH Practitioner - Nurse Practitioner 9638396567 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Community Health Associates, Inc.Group PAC ID 0941114250, 100 clinicians

Practice addresses (Care Compare)

121 Westfield Dr
Suite 1
Archbold, OH 43502-1005
Phone (419) 445-2015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.15806OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Physician Services of Ohio LLC CurrentSince Oct 25, 2023 Accepting new patients
Kingston Care Partners, LLC CurrentSince Jul 13, 1984 Accepting new patients
Midwest Community Health Associates, Inc. CurrentSince Apr 3, 2025 Accepting new patients
Curana Health of Ohio CurrentSince Oct 25, 2023 Accepting new patients
Midwest Community Health Associates, Inc. CurrentSince Apr 3, 2025 Accepting new patients

Locations

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

121 Westfield Dr
Ste 1
Archbold, OH 43502
Phone (419) 445-2015

442 W High St
Bryan, OH 43506
Phone (260) 266-8210

3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276

1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949

4121 King Rd
Sylvania, OH 43560
Phone (419) 517-8200

1 Seagate
Ste 1960
Toledo, OH 43604
Phone (419) 247-2880

3366 Riverside Dr
Ste 103
Upper Arlington, OH 43221
Phone (617) 958-5697

9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800

Interoperability endpoints

  • Direct secure messaging: croth674121@direct.parkviewexchange.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 4

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1730595125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WESTFIELD DR STE 1",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435021005",
            "telephone_number": "419-445-2015",
            "fax_number": "419-445-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "CAITLIN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2025-06-02",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.15806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "croth674121@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "121 Westfield Dr Ste 1",
            "city": "Archbold",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435021005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "121 Westfield Dr Ste 1",
            "city": "Archbold",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435021005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "121 Westfield Dr Ste 1",
            "city": "Archbold",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435021005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Archbold, OH

Sources for this page

Verify at the official NPI Registry.