Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639034424 Individual Practitioner Female Practitioner

Carley Michele Roth

Nurse Practitioner • Fenton, MO

Professional Overview & Biography Verified Profile Summary

Carley Roth is a certified Nurse Practitioner practicing in Fenton, MO. With approximately 1 years of clinical experience since completing medical education in 2025, Carley Roth delivers high-quality medical care to the local community at 1055 BOWLES AVE STE 200.

Carley Roth does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1055 Bowles Ave Ste 200

Fenton, MO 630262308

Telephone 6364963900
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fenton, MO

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -7.7 yrs vs City Avg
City Avg: 8.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Fenton, MO (1750 Statewide)

Telehealth Adoption Rate
27.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roth (1 Years) 1 Yrs
Fenton Specialty Average (8.7 Years) 8.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2026003319

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MO 2026003319

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Laura Howard

Nurse Practitioner - Family

NPI 1023498334
Dr. Bassam Malo , MD

Psychiatry & Neurology - Neurology

NPI 1205148293

Doctor of Medicine (M.D.)

Valerie Rasche , PA

Physician Assistant

NPI 1205392776

Physician Assistant

Danielle Blake

Nurse Practitioner

NPI 1265900450
Dr. Charles Wetherington , MD

Neurological Surgery

NPI 1326048935

Doctor of Medicine (M.D.)

Connie Pickering , ANP

Nurse Practitioner - Adult Health

NPI 1487812632

Adult Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address April 10, 2026

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2026

Nurse Practitioner (License #2026003319 in MO)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2026

Nurse Practitioner (License #2026003319 in MO)

NPI Profile Active December 23, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2025

Registered at 1055 BOWLES AVE STE 200, FENTON, MO 630262308 (Tel: 6364963900)

📍
Updated Business Mailing Address December 23, 2025

Registered at 2242 VALLEYVIEW DR, BARNHART, MO 630121914

👤
Provider Name / Credentials Updated December 23, 2025

Recorded as CARLEY ROTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2025

Registered Nurse (License #2021024598 in MO)

🟢
Initial NPI Registration & Enumeration December 23, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639034424
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2025
Last Update: April 21, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.