Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mrs. Michelle L Roth, PA
Physician Assistant in Peoria, IL · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1477743813
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Mrs. Michelle L Roth
Credential PA
Sex Female
Practice address 4909 N Glen Park Place Rd, Peoria, IL, 61614
Phone (309) 674-7546
Fax (309) 282-0500
Enumeration date Aug 1, 2007
Last updated in NPPES Aug 1, 2007
Taxonomy & licenses
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Michelle Roth practice?
The practice location on file with NPPES is in Peoria, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Michelle Roth?
The National Provider Identifier (NPI) for Michelle Roth is 1477743813, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all → John Lomax Plastic Surgery Physician · Peoria, IL NPI 1417923517 Carl Soderstrom Dermatopathology Physician · Peoria, IL NPI 1053370759 Stuart Berryman Medical Physician Assistant · Peoria, IL NPI 1093774705 Soderstrom Dermatology Center S C Ambulatory Surgical Clinic/Center · Peoria, IL NPI 1053362343 Soderstrom Dermatology Center S C Dermatology Physician · Peoria, IL NPI 1710931670 John Soderstrom Physician Assistant · Peoria, IL NPI 1871506931 Michael Hayes Dermatology Physician · Peoria, IL NPI 1912017245 Todd Gerlach Plastic Surgery Physician · Peoria, IL NPI 1518046044
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-08-01.