Stacy Roth, APN - Medicare Nurse Practitioner in Davenport, IA

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Stacy Roth, APN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family" in Davenport, Iowa. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Health Care Inc and her current practice location is 500 W River Dr, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 336-3000.

Stacy Roth is licensed to practice in Iowa (license number G106548) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689077018.

Contact Information

Stacy Roth, APN
500 W River Dr,
Davenport, IA 52801-1014
(563) 336-3000
Not Available

Map and Direction




Provider's Profile

Full NameStacy Roth
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location500 W River Dr, Davenport, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacy Roth graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1689077018
  • Provider Enumeration Date: 09/30/2014
  • Last Update Date: 10/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456673342
  • Enrollment ID: I20150401000977

Medical Identifiers

Medical identifiers for Stacy Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689077018NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0810XClinical Nurse Specialist - Psychiatric/mental Health, Child & Family G106548 (Iowa)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health Care Inc983000889548

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy Roth allows following entities to bill medicare on her behalf.
Entity NameCommunity Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598759292
PECOS PAC ID: 9830008895
Enrollment ID: O20031205000597

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Roth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy Roth, APN
500 W River Dr,
Davenport, IA 52801-1014

Ph: (563) 336-3000		Stacy Roth, APN
500 W River Dr,
Davenport, IA 52801-1014

Ph: (563) 336-3000

Reviews and Comments


Clinical Nurse Specialist Nurses in Davenport, IA

Shelley L. Spector, ARNP
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Phone: 563-421-1815    
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Phone: 531-421-3122    
Concessa Louise Stecker, ARNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1441 W Central Park Ave, Davenport, IA 52804
Phone: 563-888-6275    Fax: 563-884-4638
Denise Elaine Antle, ARNP, MSN, CCNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 1236 E Rusholme St, Davenport, IA 52803
Phone: 563-421-3994    Fax: 563-421-3999

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.