Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer L Roth, FNP-C

Individual provider Nurse Practitioner · NPI 1902495468

Jennifer L Roth, FNP-C is a Nurse Practitioner in Baraboo, Wisconsin. Qualified in 2020, 6 years ago. Practices with Southern Wisconsin Emergency Associates SC, a 43-clinician group and accepts Medicare assignment. Licensed in Arizona and Wisconsin.

Years since qualifying
6
Licensed in
AZ, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1700 Tuttle St
Baraboo, WI 53913-3319
Phone: (608) 355-3800
Fax: (608) 355-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 248734 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence 11004-33 (WI)

Record details

NPI number1902495468
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 11, 2021
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern Wisconsin Emergency Associates Sc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients75
Services billed 101 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Stoughton Hospital Hospital · Stoughton, WI · listed as Stoughton Hospital Association

Colleagues at Southern Wisconsin Emergency Associates SC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 43 clinicians in the practice; 12 are shown here.

Other providers in Baraboo