DONNA F ROY
NPI 1922245604
Nurse Practitioner - Psychiatric/Mental Health in Milwaukee, WI

Q: What is Donna Roy's NPI number?

The NPI number for Donna Roy is 1922245604. It was assigned to this individual provider in the NPPES registry on January 16, 2009.

Q: What is Donna Roy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donna Roy was last updated on October 15, 2023. 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.

Active since January 16, 2009PECOS EnrolledAccepts Medicare Assignment

1020 N 12TH ST FL 4, MILWAUKEE, WI 53233(414) 219-5000 Get Directions Write a Review

NPPES record last updated: October 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2023, Jul 21, 2022, Dec 3, 2021 and 4 more (7 updates tracked since 2017).

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About Donna F Roy NPPES

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

DONNA F ROY (NPI 1922245604) is an individual psychiatric/mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (3594) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1922245604

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDONNA F ROY

Location Address1020 N 12TH ST FL 4Milwaukee, WI 53233

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (414) 773-4312

Phone(414) 219-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJanuary 16, 2009

Last NPPES UpdateOctober 15, 20237 updates tracked since enumeration

NPPES CertifiedOctober 15, 2023

✔ NPI 1922245604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WI · 3594

Also ListedNurse PractitionerTaxonomy 363L00000X · License 3594 (WI)

1020 N 12TH ST FL 4, Milwaukee, WI 53233

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Other Identifiers 1

Medicaid1922245604WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Donna F Roy 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 ID1759447808

PECOS Enrollment IDI20090225000679

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.

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.

23 services17 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

16 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 6

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

ANDREA LYNN DINAUER LMT

Massage Therapist