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

Rachel Roth, NP-C

Individual provider Nurse Practitioner · NPI 1629428271

Rachel Roth, NP-C is a Nurse Practitioner in Bridgeton, Missouri. Qualified in 2015, 11 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2016
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

12266 De Paul Dr Ste 305
Bridgeton, MO 63044-2514
Phone: (314) 770-0991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3015 N Ballas Rd, Saint Louis, MO 63131-2329 — (314) 996-5000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2016009384 (MO)

Record details

NPI number1629428271
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 14, 2016
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing addressPo Box 955534, Saint Louis, MO 63195-5534

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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