Individual provider Active NPI

Roxana Lissie Ceausu, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1114460912
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21383 Issued in TN
Practice address
259 N Peters Rd
Knoxville, TN 37923-4923
Phone
(865) 690-1255
Fax
(865) 690-4583
NPI assigned
Nov 28, 2016
Last updated
Nov 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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 21383 TN Primary

Addresses

Primary practice location

259 N Peters Rd
Knoxville, TN 37923-4923

Mailing address

259 N Peters Rd
Knoxville, TN 37923-4923
Phone (865) 690-1255

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
I20170208001077 TN Practitioner - Nurse Practitioner 4385927821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senior Care Partners of East Tennessee PLLCGroup PAC ID 4486801982, 36 clinicians
M3CGroup PAC ID 3375973936, 6 clinicians

Practice addresses (Care Compare)

2900 Lake Brook Blvd
Knoxville, TN 37909-1135
Phone (865) 246-2104

9041 Executive Park Dr
Suite 250
Knoxville, TN 37923-4657
Phone (865) 298-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21383TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M3C Family CurrentSince Feb 5, 2020 Accepting new patients
Horizon Family Medicine, Inc Past Accepting new patients
Sr Medical Services, LLC Past Accepting new patients

Locations

458 Wayne Ave
Ste 100
Crossville, TN 38555
Phone (931) 456-8666

637 Woodgate Dr
Crossville, TN 38571

887 Woodlawn Rd
Crossville, TN 38555
Phone (931) 287-2557

2900 Lake Brook Blvd
Knoxville, TN 37909
Phone (865) 444-1104

3009 Lake Brook Blvd
Knoxville, TN 37909
Phone (865) 524-9896

3020 Heatherton Way
Knoxville, TN 37920
Phone (865) 573-0100

9041 Executive Park Dr
Ste 250
Knoxville, TN 37923
Phone (800) 638-6771

83 Kentucky Ave
Oak Ridge, TN 37830
Phone (865) 294-5489

Interoperability endpoints

  • Direct secure messaging: rceausu@m3c.curemd.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1114460912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 N PETERS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234923",
            "telephone_number": "865-690-1255",
            "fax_number": "865-690-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 N PETERS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234923",
            "telephone_number": "865-690-1255",
            "fax_number": "865-690-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEAUSU",
        "first_name": "ROXANA",
        "middle_name": "LISSIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.