Individual provider Active NPI

Britni Lynn Roark, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Vincennes, IN
National Provider Identifier
1477035509
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71008372A Issued in IN
Practice address
514 S 9TH St
Vincennes, IN 47591-2709
Phone
(812) 885-6990
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71008372A IN
Acute Care Nurse Practitioner 363LA2100X 71008372A IN Primary

Addresses

Primary practice location

514 S 9TH St
Vincennes, IN 47591-2709

Mailing address

1160 E Saint Clair St
Vincennes, IN 47591-4853
Phone (812) 885-3106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181009000913 IN Practitioner - Nurse Practitioner 4880946532 Reassigns benefits to 2 organizations
I20250327002958 KY Practitioner - Nurse Practitioner 4880946532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

1413 N Elm St
Henderson, KY 42420-2768
Phone (270) 561-0202

519 Harriet St
Evansville, IN 47710-1715
Phone (812) 450-7720

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Indiana PC CurrentSince Dec 21, 2018 Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner Current Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner CurrentSince Jan 25, 2025 Accepting new patients
Deaconess Hospital Inc Nurse Practitioner CurrentSince Sep 1, 2019 Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner CurrentSince Sep 1, 2019 Accepting new patients

Locations

519 Harriet St
Evansville, IN 47710
Phone (812) 423-9699

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

4015 Gateway Blvd
Ste 2121
Newburgh, IN 47630
Phone (812) 450-7720

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1413 N Elm St
Henderson, KY 42420
Phone (270) 561-0202

1300 Merritt Dr
#100
Henderson, KY 42420
Phone (270) 827-0064

Interoperability endpoints

  • Direct secure messaging: broark145856@direct.deaconess.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1477035509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 E SAINT CLAIR ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914853",
            "telephone_number": "812-885-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S 9TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912709",
            "telephone_number": "812-885-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "BRITNI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008372A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71008372A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.