NPIMap

Individual provider Active NPI

Brooke Leanna Roberts, FNP-C

  • Family Nurse Practitioner
  • Rogersville, TN
National Provider Identifier
1477100113
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25600 Issued in TN
Practice address
405 Scenic Dr
Rogersville, TN 37857-2441
Phone
(423) 272-2111
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 25600 TN Primary

Addresses

Primary practice location

405 Scenic Dr
Rogersville, TN 37857-2441

Mailing address

6896 Highway 66 N
Rogersville, TN 37857-7074
Phone (423) 923-3021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191023003731 TN Practitioner - Nurse Practitioner 0941532931 Reassigns benefits to 2 organizations

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
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

405 Scenic Dr
Suite B
Rogersville, TN 37857-2441
Phone (423) 272-2111

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Morristown, TN, CCN 447190
  • Hawkins County Memorial Hospital Hospital, Rogersville, TN, CCN 440032
  • Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050
  • Indian Path Community Hospital Hospital, Kingsport, TN, CCN 440176
  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Jul 1, 2020 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Sep 10, 2019 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Sep 10, 2019 Accepting new patients
Blue Ridge Medical Management Corporation Family Past Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

405 Scenic Dr
Ste B
Rogersville, TN 37857
Phone (423) 272-2111

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 8

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1477100113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6896 HIGHWAY 66 N",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378577074",
            "telephone_number": "423-923-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SCENIC DR",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378572441",
            "telephone_number": "423-272-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BROOKE",
        "middle_name": "LEANNA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, TN

Sources for this page

Verify at the official NPI Registry.