Individual provider Active NPI

Kara Roof, CNP

  • Family Nurse Practitioner
  • Jackson, OH
National Provider Identifier
1972965697
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18951-NP Issued in OH
Practice address
1000 Veterans Dr
Jackson, OH 45640-9586
Phone
(740) 395-8090
Fax
(740) 395-8197
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.18951-NP OH Primary

Addresses

Primary practice location

1000 Veterans Dr
Jackson, OH 45640-9586

Mailing address

1000 Veterans Dr
Jackson, OH 45640-9586
Phone (740) 395-8090

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adenafamilymedicinewellston@adena.medicity.net

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
I20170106000888 OH Practitioner - Nurse Practitioner 4385925304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio Medical University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

1000 Veterans Dr
Jackson, OH 45640-9586
Phone (740) 395-8090

Hospital & facility affiliations

  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
  • Adena Pike Medical Center Hospital, Waverly, OH, CCN 361334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.18951-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Jan 1, 2019 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Jeanne Ingles Family Practice PastSince Jun 1, 2016 Accepting new patients

Locations

272 Hospital Rd
Ste 6
Chillicothe, OH 45601

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

1000 Veterans Dr
Jackson, OH 45640
Phone (740) 395-8050

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

118 S New York Ave
Wellston, OH 45692
Phone (740) 384-3722

Interoperability endpoints

  • Direct secure messaging: kroof1061399@direct.osumc.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1972965697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VETERANS DR",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456409586",
            "telephone_number": "740-395-8090",
            "fax_number": "740-395-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VETERANS DR",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456409586",
            "telephone_number": "740-395-8090",
            "fax_number": "740-395-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOF",
        "first_name": "KARA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18951-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adenafamilymedicinewellston@adena.medicity.net",
            "affiliation": "N",
            "address_1": "118 S New York Ave",
            "city": "Wellston",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456921540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, OH

Sources for this page

Verify at the official NPI Registry.