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

Melinda M Roth, PMHNP

Individual provider Family Nurse Practitioner · NPI 1154757045

Melinda M Roth, PMHNP is a Nurse Practitioner in Crandon, Wisconsin. Qualified in 2016, 10 years ago. Practices with Sokaogon Chippewa Community, a 13-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2013
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

3144 Vanzile Rd
Crandon, WI 54520-8149
Phone: (715) 478-5180
Fax: (715) 478-5904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 108 W Market St, Bloomington, IL 61701-3918 — (309) 827-5351
  • 1100 Beech St Bldg 10, Normal, IL 61761-1493 — (309) 463-5800

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 277000959 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209010719 (IL)

Record details

NPI number1154757045
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedSeptember 24, 2013
Last updated in NPPESSeptember 1, 2022
Certification dateMarch 30, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sokaogon Chippewa Community — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $15 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Sokaogon Chippewa Community

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 13 clinicians in the practice; 9 are shown here.

Other providers in Crandon