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

Mr. Jeffrey Scott Roth, FNP

Individual provider Family Medicine Physician · NPI 1992424923

Mr. Jeffrey Scott Roth, FNP is a Nurse Practitioner in Flagstaff, Arizona. Qualified in 2022, 4 years ago. Practices with Northern Arizona Healthcare Corporation, a 395-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1215 N Beaver St
Flagstaff, AZ 86001-3120
Phone: (928) 773-2200
Fax: (928) 773-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16196 W Gibson Ln, Goodyear, AZ 85338-3448 — (623) 640-4792

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 279848 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 279848 (AZ)

Record details

NPI number1992424923
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedAugust 23, 2022
Last updated in NPPESAugust 21, 2023
Certification dateNovember 2, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northern Arizona Healthcare Corporation — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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