Jacqueline Roethlisberger, NP
Jacqueline Roethlisberger, NP is an Adult Health Nurse Practitioner in Kettering, OH, registered under NPI 1366561870.
Getting there
The practice address on file is 3700 SOUTHERN BLVD STE 201, Kettering, OH 45429. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| COA 03334 NP | OH | Adult Health Nurse Practitioner primary |
| RN 199132 COA | OH | Adult Health Nurse Practitioner |
This provider holds licence COA 03334 NP issued in OH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 3779680970
- Enrollment ID
- I20070523000338
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Adult Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2200X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LA2200X | Adult Health Nurse Practitioner Adult Health | COA 03334 NP | OH | primary |
| 363LA2200X | Adult Health Nurse Practitioner Adult Health | RN 199132 COA | OH |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1366561870 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 28, 2007 |
| Last updated | Apr 12, 2022 |
| Status | Active |
| Sole proprietor | No |
| Credential | NP |
| Practice address |
3700 SOUTHERN BLVD STE 201 Kettering, OH 45429 (855) 500-2873 Fax (937) 281-3992 |
| Mailing address |
1 PRESTIGE PL STE 550 Miamisburg, OH 45342 |
| Other identifiers |
2731806
· Medicaid (OH) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 6 | 6 | 5 | 6 | 1 | 8 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 3 | 6 | 1 | 6 | 2 | 8 | 5 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.