DR. STACEY ROTH DC
NPI 1770849929
Chiropractor - Pediatric Chiropractor in Moorhead, MN
About Dr. Stacey Roth Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STACEY ROTH DC (NPI 1770849929) is an individual pediatric chiropractor in Moorhead, Minnesota, licensed in Minnesota (3114) and active in the NPI registry since April 2012. She is a graduate of Northwestern College Of Chiropractic (1992).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Stacey Roth Dc 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.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Moorhead, MN 56560
- Reassigned Medicare billing, Minnesota enrollment
- 2 clinicians in this Medicare group
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
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacey Roth's NPI number?
The NPI number for Stacey Roth is 1770849929. It was assigned to this individual provider in the NPPES registry on April 2, 2012.
Where is Stacey Roth located?
Stacey Roth practices at 1906 30th Ave S, Moorhead, MN 56560. The listed phone number is (218) 233-2517.
What is Stacey Roth's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Pediatric Chiropractor, with taxonomy code 111NP0017X.
Is Stacey Roth enrolled in Medicare?
Yes. Stacey 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 organization bills Medicare for Stacey Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Roth reassigns Medicare benefits to Roth Family Chiropractic Inc. (Moorhead, MN). 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 Stacey Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Roth accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Stacey 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 Stacey Roth was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Stacey Roth, DC · NPI 1770849929
Pediatric Chiropractor provider in Moorhead, Minnesota. Individual provider, active in the CMS NPPES registry since April 2, 2012.
## Identity
- **NPI:** 1770849929 (Entity type: Individual)
- **Enumerated:** April 2, 2012
- **Primary specialty:** Chiropractor - Pediatric Chiropractor · taxonomy 111NP0017X
- **State license:** 3114 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1906 30TH AVE S, Moorhead, MN 56560-5210
- **Phone:** (218) 233-2517
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Roth Family Chiropractic Inc. (NPI 1104018373, Moorhead, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern College Of Chiropractic, class of 1992
## Record status
- **NPPES last updated:** April 2, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1770849929) · Data from the CMS NPPES public registry.