Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy Roth, APN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1689077018

Stacy Roth, APN is a Nurse Practitioner in Davenport, Iowa. Qualified in 2014, 12 years ago. Practices with Community Health Care Inc, a 55-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
12
Licensed in
IA
In the registry since
2014
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

500 W River Dr
Davenport, IA 52801-1014
Phone: (563) 336-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence G106548 (IA)

Record details

NPI number1689077018
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedSeptember 30, 2014
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address500 W River Dr, Davenport, IA 52801-1014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Community Health Care Inc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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