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

Kelsey Nicole Roth, PA

Individual provider Physician Assistant · NPI 1144973942

Kelsey Nicole Roth, PA is a Physician Assistant in Scottsdale, Arizona. Qualified in 2022, 4 years ago. Practices with The Charlotte-Mecklenburg Hospital Authority, a 589-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Arizona and North Carolina.

Years since qualifying
4
Licensed in
AZ, NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 945 N 5th St, Albemarle, NC 28001-3417 — (980) 323-7790
  • 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 — (980) 442-2000
  • 10660 Park Rd, Charlotte, NC 28210-8413 — (980) 442-0410
  • 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 — (704) 302-8300
  • 100 Medical Park Dr, Concord, NC 28025-2948 — (704) 403-1370

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11237 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 0010-13130 (NC)

Record details

NPI number1144973942
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 1, 2022
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Charlotte-Mecklenburg Hospital Authority — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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