Active NPI
Maggie Roth, APRN
- Family Nurse Practitioner
- Grand Island, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 112878
- Practice address
- 908 N Howard Ave
Grand Island, NE 68803-3556 - Phone
- (308) 398-8900
- NPI assigned
- Sep 23, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 112878 | NE | Primary |
| Registered Nurse | 163W00000X | 82107 | NE |
Addresses
Primary practice location
908 N Howard Ave
Grand Island, NE 68803-3556
Mailing address
908 N Howard Ave Ste 105
Grand Island, NE 68803-3529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440
908 N Howard Ave
Grand Island, NE 68803-3529
Hospital & facility affiliations
- CHI Health St. Francis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82107 | NE | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHI Health Clinic Specialty, LLC | Current | Accepting new patients | |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Alegent Creighton Clinic | Past | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
1423 7th St
Aurora, NE 68818
Phone (402) 694-3171
2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856
908 N Howard Ave
Ste 105
Grand Island, NE 68803
Phone (308) 384-7200
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
5005 S 153rd St
Ste 100
Omaha, NE 68137
Phone (402) 614-1258
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
-
- Family Medicine Physician
- Omaha, NE
- NPI 1548287907
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Island, NE
- NPI 1982675955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1831740760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 N HOWARD AVE STE 105",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688033529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 N HOWARD AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688033556",
"telephone_number": "308-398-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "MAGGIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2024-10-03",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "112878",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "82107",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.