Individual provider Active NPI

Cara Rust Roberson, APRN

  • Family Nurse Practitioner
  • Henderson, TN
National Provider Identifier
1093057465
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17452 Issued in TN
Practice address
1314 US Highway 45 N Ste a
Henderson, TN 38340-4003
Phone
(731) 989-0001
NPI assigned
Mar 22, 2013
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17452 TN Primary

Addresses

Primary practice location

1314 US Highway 45 N Ste a
Henderson, TN 38340-4003

Mailing address

116 W Main St
Henderson, TN 38340-2231
Phone (731) 989-0001

Other practice location 1

17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone (731) 512-0104 ext. 143

Other identifiers 1

IdentifierTypeStateIssuer
Q000621MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130820000885 TN Practitioner - Nurse Practitioner 6800038985 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Cardiology PCGroup PAC ID 5092702498, 5 clinicians
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians

Practice addresses (Care Compare)

327 Summar Dr
Jackson, TN 38301-3930
Phone (731) 423-8200

701 W Main Blvd
Church Hill, TN 37642-3915
Phone (423) 357-7178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17452TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Cardiology PC CurrentSince Jun 1, 2022 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Dec 28, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Dec 19, 2025 Accepting new patients
Frix-Jennings Clinic PC CurrentSince Jul 24, 2018 Accepting new patients
NV Pacs 2 LLC CurrentSince Dec 28, 2025 Accepting new patients
Apex Cardiology PC CurrentSince Jun 1, 2022 Accepting new patients

Locations

701 W Main Blvd
Church Hill, TN 37642
Phone (423) 357-7178

2550 Parr Ave
Dyersburg, TN 38024
Phone (731) 325-5678

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

116 W Main St
Henderson, TN 38340
Phone (731) 929-0001

1314 US Highway 45 N
#A
Henderson, TN 38340
Phone (731) 989-0001

327 Summar Dr
Jackson, TN 38301
Phone (731) 325-5678

319 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200

Interoperability endpoints

  • Direct secure messaging: cara.roberson.p1@direct.apexcardio.nextgenshare.com
  • Direct secure messaging: cararoberson@hvcwtn.allscriptsdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1093057465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402231",
            "telephone_number": "731-989-0001",
            "fax_number": "731-989-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 US HIGHWAY 45 N STE A",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383404003",
            "telephone_number": "731-989-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Centre Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383052862",
            "country_code": "US",
            "telephone_number": "731-512-0104 x143",
            "fax_number": "731-668-7388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "CARA",
        "middle_name": "RUST",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000621",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TN

Sources for this page

Verify at the official NPI Registry.