MRS. CAROLINE BANTA DEROSA APRN
NPI 1841685831
Nurse Practitioner - Psychiatric/Mental Health in Savannah, GA

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
4849 PAULSEN ST STE 209, SAVANNAH, GA 31405(912) 600-8800(912) 662-1817 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Caroline Banta Derosa Aprn NPPES

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

MRS. CAROLINE BANTA DEROSA APRN (NPI 1841685831) is an individual psychiatric/mental health provider in Savannah, Georgia, licensed in Georgia (RN245640) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1841685831
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. CAROLINE BANTA DEROSACredential: APRN
Location Address4849 PAULSEN ST STE 209Savannah, GA 31405-4425
Mailing Address4849 Paulsen St Ste 209Savannah, GA 31405-4425 · (912) 600-8800 · Fax (912) 662-1817
Fax(912) 662-1817
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 6, 2015
Last NPPES UpdateMarch 8, 2023
NPPES CertifiedMarch 8, 2023
✔ NPI 1841685831 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 GA · RN245640
4849 PAULSEN ST STE 209, Savannah, GA 31405

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

Mrs. Caroline Banta Derosa Aprn 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 ID1759674013
PECOS Enrollment IDI20160725000397
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

4

Medicare enrollment records show Caroline Derosa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Hospital
1915 EISENHOWER DR
Savannah, GA 31406
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Department Of Behavioral Health And Developmental Disabilities
  • 168 clinicians in this Medicare group
Psychiatry
790 FRANK COCHRAN DR, SUITE 111
Hinesville, GA 31313
  • Reassigned Medicare billing, Georgia enrollment
  • 18 clinicians in this Medicare group
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services26 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
26 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31405 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 11

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

Counselor (Professional)
4849 PAULSEN ST STE 209
SAVANNAH, GA 31405
Counselor (Professional)
4849 PAULSEN ST STE 209
SAVANNAH, GA 31405
Social Worker (Clinical)
4849 PAULSEN ST STE 209
SAVANNAH, GA 31405
Counselor (Professional)
4849 PAULSEN ST STE 209
SAVANNAH, GA 31405
Social Worker (Clinical)
4849 PAULSEN ST STE 209
SAVANNAH, GA 31405
Counselor (Professional)
4849 PAULSEN ST STE 209
SAVANNAH, GA 31405
Counselor (Professional)
4849 PAULSEN ST STE 209
SAVANNAH, GA 31405
Counselor (Professional)
4849 PAULSEN ST STE 209
SAVANNAH, GA 31405

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 Caroline Derosa's NPI number?

The NPI number for Caroline Derosa is 1841685831. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Caroline Derosa located?

Caroline Derosa practices at 4849 Paulsen St Ste 209, Savannah, GA 31405. The listed phone number is (912) 600-8800.

What is Caroline Derosa's specialty?

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

Is Caroline Derosa enrolled in Medicare?

Yes. Caroline Derosa 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 Caroline Derosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Derosa reassigns Medicare benefits to 4 organizations: Department Of Behavioral Health & Developmental Disabilities (Savannah, GA), Horizon Behavioral Health, P.C. (Hinesville, GA), Personal Recovery Network LLC (Stockbridge, GA) and Privia Medical Group Of Georgia LLC (Fayetteville, GA). 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 Caroline Derosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Derosa accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Caroline Derosa 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 Caroline Derosa was last updated on March 8, 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.