STACY ROTH APN
NPI 1689077018
Nurse Practitioner - Psychiatric/Mental Health in Davenport, IA

Active since September 30, 2014PECOS EnrolledAccepts Medicare Assignment
500 W RIVER DR, DAVENPORT, IA 52801(563) 336-3000 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy Roth Apn NPPES

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

STACY ROTH APN (NPI 1689077018) is an individual psychiatric/mental health provider in Davenport, Iowa, licensed in Iowa (G106548) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1689077018
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACY ROTHCredential: APN
Location Address500 W RIVER DRDavenport, IA 52801-1014
Mailing Address500 W River DrDavenport, IA 52801-1014 · (563) 336-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 30, 2014
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
NPI 1689077018 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 IA · G106548
500 W RIVER DR, Davenport, IA 52801

Accepted Insurance

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

Stacy Roth Apn 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 ID1456673342
PECOS Enrollment IDI20150401000977
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 52801 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Pharmacist
500 W RIVER DR
DAVENPORT, IA 52801
Nurse Practitioner (Family)
500 W RIVER DR
DAVENPORT, IA 52801
Pediatrics
500 W RIVER DR
DAVENPORT, IA 52801
Nurse Practitioner (Pediatrics)
500 W RIVER DR
DAVENPORT, IA 52801
Nurse Practitioner (Family)
500 W RIVER DR
DAVENPORT, IA 52801
Dentist (General Practice)
500 W RIVER DR
DAVENPORT, IA 52801
Nurse Practitioner (Family)
500 W RIVER DR
DAVENPORT, IA 52801
Internal Medicine
500 W RIVER DR
DAVENPORT, IA 52801

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 Stacy Roth's NPI number?

The NPI number for Stacy Roth is 1689077018. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Where is Stacy Roth located?

Stacy Roth practices at 500 W River Dr, Davenport, IA 52801. The listed phone number is (563) 336-3000.

What is Stacy Roth's specialty?

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

Is Stacy Roth enrolled in Medicare?

Yes. Stacy 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.

What insurance does Stacy Roth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Medica and Oscar Insurance Company list Stacy 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 Stacy Roth was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.