Individual provider Active NPI

Barbara A Roth, MD

  • Psychiatry Physician
  • Lincoln, NE
National Provider Identifier
1164533741
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23827 Issued in NE
Practice address
2221 S 17TH St Ste 310
Lincoln, NE 68502-3700
Phone
(402) 483-8555
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A86447 CA
Psychiatry Physician 2084P0800X 55442 MN
Psychiatry Physician 2084P0800X 23827 NE Primary

Addresses

Primary practice location

2221 S 17TH St Ste 310
Lincoln, NE 68502-3700

Mailing address

PO Box 860876
Minneapolis, MN 55486-0876

Other practice location 1

3800 Park Nicollet Blvd
Mental Health 3N
St Louis Park, MN 55416-2527
Phone (952) 993-3307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061101000246 NE Practitioner - Psychiatry 9133171374 Reassigns benefits to 1 organization
I20120830000571 MN Practitioner - Psychiatry 9133171374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

2221 S 17TH St
310 Bryan Psychiatry
Lincoln, NE 68502-3700
Phone (402) 483-8555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
86447CAMDPharmacist
A86447CAMDPsychiatry Physician
55442MNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic CurrentSince Jul 14, 2012 Accepting new patients
Park Nicollet Clinic CurrentSince Jul 14, 2012 Accepting new patients
Bryan Physician Network Psychiatry CurrentSince Jun 1, 2025 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Bryan Medical Center PastSince Jun 1, 2025 Accepting new patients
Bryan Medical Center Past Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

3800 Park Nicollet Blvd
#3N
St Louis Park, MN 55416
Phone (952) 993-3307

2221 S 17th St
Ste 310
Lincoln, NE 68502
Phone (402) 483-8550

825 J St
Lincoln, NE 68508
Phone (402) 441-6329

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

Interoperability endpoints

  • Direct secure messaging: broth55955@hisp.bryanhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1164533741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860876",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 S 17TH ST STE 310",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023700",
            "telephone_number": "402-483-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Park Nicollet Blvd",
            "address_2": "Mental Health 3N",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554162527",
            "country_code": "US",
            "telephone_number": "952-993-3307",
            "fax_number": "952-993-1762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "BARBARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A86447",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "55442",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "23827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.