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ROY BURKHALTER JR. APRN, PMHNP-BC
NPI 1174256614
Nurse Practitioner - Psychiatric/Mental Health in Melbourne, FL

Active since July 01, 2022PECOS EnrolledAccepts Medicare Assignment
3754 THAYER LN, MELBOURNE, FL 32901(321) 795-4016 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Roy Burkhalter Jr. Aprn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROY BURKHALTER JR. APRN, PMHNP-BC (NPI 1174256614) is an individual psychiatric/mental health provider in Melbourne, Florida, licensed in Florida (APRN11026736) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174256614
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameROY BURKHALTER JR.Credential: APRN, PMHNP-BC
Location Address3754 THAYER LNMelbourne, FL 32901-6708
Mailing Address1565 N Harbor City BlvdMelbourne, FL 32935-6568
Phone(321) 795-4016
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 1, 2022
Last NPPES UpdateJune 6, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1174256614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11026736
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 251429 (FL)
3754 THAYER LN, Melbourne, FL 32901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roy Burkhalter Jr. Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800250580
PECOS Enrollment IDI20230913003462
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Roy Burkhalter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Schultz Mental Healthcare Services Inc
8.3 mi
Psychiatric/Mental Health
2080 TURTLE MOUND RD
Melbourne, FL 32934
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1164011805 (321) 722-7787

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roy Burkhalter's NPI number?

The NPI number for Roy Burkhalter is 1174256614. It was assigned to this individual provider in the NPPES registry on July 1, 2022.

Where is Roy Burkhalter located?

Roy Burkhalter practices at 3754 Thayer Ln, Melbourne, FL 32901. The listed phone number is (321) 795-4016.

What is Roy Burkhalter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Roy Burkhalter enrolled in Medicare?

Yes. Roy Burkhalter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Roy Burkhalter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Burkhalter reassigns Medicare benefits to Schultz Mental Healthcare Services Inc (Melbourne, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roy Burkhalter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roy Burkhalter accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Roy Burkhalter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roy Burkhalter was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.