Chelsea Roth, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

8202085-4405 Issued in UT

Practice address

150 W 100 N # N-101
Vernal, UT 84078-2036

Phone

(435) 781-6300

Fax

(435) 781-6301

NPI assigned

Aug 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chelsea Hacking Former name

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ashley Valley Physician Practice LLCGroup PAC ID 4284683947, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ashley Regional Medical Center Hospital, Vernal, UT, CCN 460030

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chelsea.roth.1@19848.direct.athenahealth.com

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.

• Ashley Valley Physician Practice, LLC

  • Orthopaedic Surgery Physician
  • Vernal, UT
  • NPI 1740482025

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Nurse Practitioner, UT

  Medicare reassignment NPD
• Ashley Valley Physician Practice LLC

  • Durable Medical Equipment & Medical Supplies
  • Vernal, UT
  • NPI 1457195034
  NPD
• Ashley Valley Physician Practice, LLC

  • Hospitalist Physician
  • Vernal, UT
  • NPI 1952631400
  NPD

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

• Ashley Valley Medical Center LLC

  • General Acute Care Hospital
  • Vernal, UT
  • NPI 1447296249
  Care Compare affiliation

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1811625239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2458 W 630 N",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840784855",
            "telephone_number": "435-630-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 100 N # N-101",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782036",
            "telephone_number": "435-781-6300",
            "fax_number": "435-781-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "983 W Main St Ste D",
            "address_purpose": "LOCATION",
            "city": "Vernal",
            "state": "UT",
            "postal_code": "840782433",
            "country_code": "US",
            "telephone_number": "435-200-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "CHELSEA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2024-04-09",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "8202085-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "HACKING",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Eugene Rockhill, DPM
• Rocky Mountain Care - Vernal Manager, LLC
• Michele Rodriguez, RBT
• Brylie Rogers
• Root Medical
• Annemarie Rousseau, APRN
• Jesse Max Rowell, OT
• Ashley Lynn Russell, FNP-C
• Sandra Dollene Rust, A.P.R.N.
• Stephanie Sabin

• Nurse Practitioner in Vernal, UT
• Providers in Vernal, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.