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

MS. Renee L Roth, CNP

Individual provider Acute Care Clinical Nurse Specialist · NPI 1295975266

MS. Renee L Roth, CNP is a Nurse Practitioner in Dayton, Ohio. Qualified in 2008, 18 years ago. Practices with Columbia Lutheran Charities, a 110-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
18
Licensed in
OH
In the registry since
2009
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

8881 N Main St
Dayton, OH 45415-1333
Phone: (937) 293-1622
Fax: (937) 245-6308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3120 Governors Place Blvd, Kettering, OH 45409-1328 — (937) 293-1622

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.10617 (OH)
Acute Care Clinical Nurse Specialist Taxonomy 364SA2100X · Licence COA10617NP (OH)

Record details

NPI number1295975266
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedMarch 3, 2009
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Columbia Lutheran Charities — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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