Individual provider Active NPI

Abbey Roe Elverd, APRN

  • Family Nurse Practitioner
  • Soddy Daisy, TN
National Provider Identifier
1134855885
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32000 Issued in TN
Practice address
210 Walmart Dr
Soddy Daisy, TN 37379-5022
Phone
(423) 332-6155
Fax
(423) 332-5293
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 32000 TN Primary

Addresses

Primary practice location

210 Walmart Dr
Soddy Daisy, TN 37379-5022

Mailing address

210 Walmart Dr
Soddy Daisy, TN 37379-5022
Phone (423) 332-6155

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
I20220921001268 TN Practitioner - Nurse Practitioner 2062897424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Health Partners Foundation IncGroup PAC ID 8022919570, 458 clinicians

Practice addresses (Care Compare)

210 Walmart Dr
Soddy Daisy, TN 37379-5022
Phone (423) 332-6155

Hospital & facility affiliations

  • Commonspirit Health at Home - Chattanooga Home health agency, Chattanooga, TN, CCN 447506
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc CurrentSince Aug 15, 2022 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Aug 15, 2022 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients

Locations

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

210 Walmart Dr
Soddy Daisy, TN 37379
Phone (423) 332-6155

Interoperability endpoints

  • Direct secure messaging: abbeyroe@tnmhpf.allscriptsdirect.net

Organizations & group practices 5

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1134855885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WALMART DR",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373795022",
            "telephone_number": "423-332-6155",
            "fax_number": "423-332-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WALMART DR",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373795022",
            "telephone_number": "423-332-6155",
            "fax_number": "423-332-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELVERD",
        "first_name": "ABBEY",
        "middle_name": "ROE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soddy Daisy, TN

Sources for this page

Verify at the official NPI Registry.