Individual provider Active NPI

Anne Ellen Roberson

  • Acute Care Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1124671060
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN0000026117 Issued in TN
Practice address
3924 Oak Branch Cir E
Bartlett, TN 38135-0223
Phone
(901) 619-7073
NPI assigned
Jul 19, 2019
Last updated
Jul 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN0000026117 TN Primary

Addresses

Primary practice location

3924 Oak Branch Cir E
Bartlett, TN 38135-0223

Mailing address

3924 Oak Branch Cir E
Bartlett, TN 38135-0223
Phone (901) 619-7073

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
I20200320000000 TN Practitioner - Nurse Practitioner 8123456415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Pulmonary Specialists PCGroup PAC ID 5092700518, 47 clinicians

Practice addresses (Care Compare)

5050 Poplar Ave
Suite 800
Memphis, TN 38157-0800
Phone (901) 276-2662

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.96 of 100Reported as group
Quality
92.15
Promoting interoperability
98
Improvement activities
40
Cost
75.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000026117TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Pulmonary Specialists PC CurrentSince Sep 9, 2021 Accepting new patients

Locations

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

5050 Poplar Ave
Ste 800
Memphis, TN 38157
Phone (901) 276-2662

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

Interoperability endpoints

  • Direct secure messaging: anne.roberson.p1@direct.mspulmonary.nextgenshare.com
  • Direct secure messaging: aroberson22764@mlh.direct-ci.com

Organizations & group practices 1

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 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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1124671060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 OAK BRANCH CIR E",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381350223",
            "telephone_number": "901-619-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 OAK BRANCH CIR E",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381350223",
            "telephone_number": "901-619-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "ANNE",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN0000026117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.