AMANDA BROOKE ROACH PMHNP-BC
NPI 1366918195
Nurse Practitioner - Psychiatric/Mental Health in Flowood, MS

Active since October 19, 2018PECOS EnrolledAccepts Medicare Assignment
544 KEYWAY DR STE A, FLOWOOD, MS 39232(601) 487-0840 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2021, Oct 19, 2018 (2 updates tracked since 2018).

About Amanda Brooke Roach Pmhnp-bc NPPES

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

AMANDA BROOKE ROACH PMHNP-BC (NPI 1366918195) is an individual psychiatric/mental health provider in Flowood, Mississippi, licensed in Mississippi (902996) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (2018).

NPPES Registry Identity

NPI1366918195
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA BROOKE ROACHCredential: PMHNP-BC
Location Address544 KEYWAY DR STE AFlowood, MS 39232-9580
Mailing Address544 Keyway Dr Ste AFlowood, MS 39232-9580 · (662) 419-2565
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2018
Enumeration DateOctober 19, 2018
Last NPPES UpdateOctober 21, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2021
NPI 1366918195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MS · 902996
544 KEYWAY DR STE A, Flowood, MS 39232

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Brooke Roach 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 ID5991193468
PECOS Enrollment IDI20211102003425
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39232 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
544 KEYWAY DR STE A
FLOWOOD, MS 39232
Clinic/Center (Federally Qualified Health Center (FQHC))
544 KEYWAY DR STE A
FLOWOOD, MS 39232

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 Amanda Roach's NPI number?

The NPI number for Amanda Roach is 1366918195. It was assigned to this individual provider in the NPPES registry on October 19, 2018.

Where is Amanda Roach located?

Amanda Roach practices at 544 Keyway Dr Ste A, Flowood, MS 39232. The listed phone number is (601) 487-0840.

What is Amanda Roach's specialty?

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

Is Amanda Roach enrolled in Medicare?

Yes. Amanda Roach 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.

When was this NPI record last updated?

The NPPES record for Amanda Roach was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.