Active NPI
Jasmine Shante' Roberson, APRN
- Gerontology Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 30570
- Practice address
- 2245 S Lauderdale St
Memphis, TN 38106-7517 - Phone
- (901) 948-5558
- NPI assigned
- Dec 22, 2021
- Last updated
- Dec 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 30570 | TN | Primary |
Addresses
Primary practice location
2245 S Lauderdale St
Memphis, TN 38106-7517
Mailing address
4302 John Wood LN
Olive Branch, MS 38654-9836
Phone (662) 397-7470
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2996 Kate Bond Rd
Suite 305
Memphis, TN 38133-4063
Phone (901) 300-2971
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.82 of 100
- Quality
- 69.44
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30570 | TN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Physician Network, LLC | Current | Accepting new patients | |
| Midsouth Independent Group, PLLC | Current | Accepting new patients | |
| Phillip R. Bowden, M.D.,P.a. | Current | Accepting new patients | |
| Health 360 PLLC | Current | Accepting new patients | |
| MSK Group, PC | Past | Accepting new patients |
Locations
2996 Kate Bond Rd
Ste 305
Bartlett, TN 38133
Phone (901) 300-2971
1417 Monroe Ave
Memphis, TN 38104
Phone (901) 272-7200
1717 Kirby Pkwy
Memphis, TN 38120
Phone (901) 272-7200
2245 S Lauderdale St
Memphis, TN 38106
Phone (901) 582-7660
6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Covington, TN
- NPI 1295258002
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1861009326
-
- Gastroenterology Physician
- Memphis, TN
- NPI 1932216389
-
- Family Medicine Physician
- Memphis, TN
- NPI 1962273375
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Francis Hospital-Bartlett
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1427718022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 JOHN WOOD LN",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386549836",
"telephone_number": "662-397-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 S LAUDERDALE ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381067517",
"telephone_number": "901-948-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "JASMINE",
"middle_name": "SHANTE'",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-22",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TN",
"license": "30570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.