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

Other providers in Baraboo