Amber Renee Roche, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP020740 Issued in PA

Practice address

1645 Rostraver Rd
Rostraver Township, PA 15012-9655

Phone

(724) 929-2260

NPI assigned

Jan 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Circle Medical Care Group PA

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1972358760

  PA

  Medicare reassignment NPD
• Prime Medical Group PCG1

  • Internal Medicine Physician
  • Clairton, PA
  • NPI 1679712764
  NPD

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1972133379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 ROSTRAVER RD STE 202",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150129655",
            "telephone_number": "724-996-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 ROSTRAVER RD",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150129655",
            "telephone_number": "724-929-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "AMBER",
        "middle_name": "RENEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020740",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aroche285435@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1645 Rostraver Rd",
            "city": "Rostraver Township",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150129655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber Peden, MS, LAT, ATC
• Kristina Petrovich
• Physical Therapy Worx LLC
• Paul P Polak, D.C.
• Monica S Ringer, NP
• Shobha Asthana MD PC
• Rosemary Slate, LMT
• Rosemary Sowa
• Shelby Glynn Stockton
• Carolyn Todaro, CRNP

• Nurse Practitioner in Rostraver Township, PA
• Providers in Rostraver Township, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.

Verify at the official NPI Registry.