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MANDY JO ROTH DNP, APRN, PMHNP-BC
NPI 1558056671
Nurse Practitioner - Psychiatric/Mental Health in Arcadia, FL

Active since April 05, 2023PECOS EnrolledAccepts Medicare Assignment
725 N 12TH AVE BLDG B, ARCADIA, FL 34266(863) 494-1242(863) 491-0466 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2024, Apr 10, 2024, Apr 5, 2023 (3 updates tracked since 2023).

About Mandy Jo Roth Dnp, Aprn, Pmhnp-bc NPPES

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

MANDY JO ROTH DNP, APRN, PMHNP-BC (NPI 1558056671) is an individual psychiatric/mental health provider in Arcadia, Florida, licensed in Florida (APRN11025764) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Melbourne, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558056671
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMANDY JO ROTHCredential: DNP, APRN, PMHNP-BC
Location Address725 N 12TH AVE BLDG BArcadia, FL 34266-8752
Mailing Address2015 Grant PlMelbourne, FL 32901-5600 · (314) 856-2275
Phone(863) 494-1242
Fax(863) 491-0466
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 5, 2023
Last NPPES UpdateMay 8, 20243 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1558056671 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
Licenses✔ Licensed in FL · APRN11025764✔ Licensed in MO · 2023006955
725 N 12TH AVE BLDG B, Arcadia, FL 34266
Open in Google Maps ↗

Secondary Practice Location 1

Location 12015 Grant PlMelbourne, FL 32901-5600 · Phone (314) 856-2275

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) 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

Mandy Jo Roth Dnp, 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 ID8921465105
PECOS Enrollment IDI20230602000601
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 Reassignments

3

Medicare enrollment records show Mandy Roth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcr Health, Inc.
43 mi
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
NPI 1255376000 (941) 776-4050
Balanced Wellbeing LLC
135 mi
Psychiatry
3200 SW 34TH AVE STE 701
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 369 clinicians in this Medicare group
NPI 1336513639 (352) 445-1200
Coastal Community Health Services, Inc.
235 mi
Federally Qualified Health Center (FQHC)
22385 FLORA PARK CROSSING DRIVE
Fernandina Beach, FL 32034
  • Reassigned Medicare billing, Florida enrollment
  • 93 clinicians in this Medicare group
NPI 1851131874 (904) 404-8641

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

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,933 services291 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
678 services244 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
493 services115 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
223 services95 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
211 services210 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
62 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34266 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.

Other Providers at the Same Location NPPES 20

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

DR. ANITHA MOGALLAPU M.D
Psychiatry & Neurology (Psychiatry)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Desoto County (239) 936-5250
DR. MICHAEL ALAN CHARASH PH.D.
Psychologist
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Desoto County (863) 494-1242
MRS. MIRNA ALEJANDRA VELASQUEZ LCSW, CTS
Social Worker (Clinical)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Desoto County (863) 494-1242
MS. MICHELLE PAISLEY
Social Worker (Clinical)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Desoto County (863) 494-1242
ARNISE LANELL JOHNSON PH.D.
Psychologist
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Desoto County (863) 494-1242
MRS. TRACEY NICOLE WAITE LCSW
Social Worker (Clinical)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Desoto County (863) 494-1242
TERENCE RYAN VEREEN APRN
Nurse Practitioner (Psychiatric/Mental Health)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Desoto County (863) 494-1242
KAYDEAN J VICKERS FNP
Nurse Practitioner (Psychiatric/Mental Health)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Desoto County (863) 494-1242

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 Mandy Roth's NPI number?

The NPI number for Mandy Roth is 1558056671. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Mandy Roth located?

Mandy Roth practices at 725 N 12th Ave Bldg B, Arcadia, FL 34266. The listed phone number is (863) 494-1242.

What is Mandy Roth's specialty?

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

Is Mandy Roth enrolled in Medicare?

Yes. Mandy Roth 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 organizations bill Medicare for Mandy Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Roth reassigns Medicare benefits to 3 organizations: Mcr Health, Inc. (Parrish, FL), Balanced Wellbeing LLC (Ocala, FL) and Coastal Community Health Services, Inc. (Fernandina Beach, FL). Each 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 Mandy Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mandy Roth accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Mandy Roth 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 Mandy Roth was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.