Individual provider Active NPI

Amy Rose Robertson, FNP-BC

  • Family Nurse Practitioner
  • Sevierville, TN
National Provider Identifier
1548675150
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN18476 Issued in TN
Practice address
1130 Middle Creek Rd Ste 260
Sevierville, TN 37862-3055
Phone
(865) 428-7586
Fax
(865) 428-8671
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 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 APN18476 TN Primary

Addresses

Primary practice location

1130 Middle Creek Rd Ste 260
Sevierville, TN 37862-3055

Mailing address

PO Box 415000-Msc8138
Nashville, TN 37241-8138
Phone (865) 670-6199

Other names 1

  • Amy Rose Widener Former name

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
I20141028000448 TN Practitioner - Nurse Practitioner 1557582970 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Key Health, PLLC CurrentSince Feb 1, 2016 Accepting new patients
University Health System, Inc CurrentSince Aug 1, 2020 Accepting new patients
Family Medical Clinic of Harrogate, P.C. CurrentSince Aug 1, 2024 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Oct 11, 2017 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Oct 11, 2017 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc CurrentSince Aug 1, 2020 Accepting new patients
Ut Urgent Care Centers LLC CurrentSince Dec 3, 2020 Accepting new patients
Chuc, LLC Family Past Accepting new patients

Locations

170 Beech St
Ste 1
Harrogate, TN 37752
Phone (423) 869-3684

1932 Alcoa Hwy
Ste 570
Knoxville, TN 37920
Phone (865) 305-6500

101 Glenleigh Ct
Knoxville, TN 37934
Phone (865) 671-1110

9625 Kroger Park Dr
Ste 300
Knoxville, TN 37922
Phone (865) 539-2287

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

5779 Creekwood Park Blvd
Ste 110
Lenoir City, TN 37772
Phone (865) 635-2810

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

1130 Middle Creek Rd
Ste 260
Sevierville, TN 37862
Phone (865) 428-7586

1787 Veterans Blvd
Ste 101
Sevierville, TN 37862
Phone (865) 428-2773

209 Irish Cemetery Rd
Tazewell, TN 37879
Phone (423) 626-2225

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFBGBA

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1548675150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000-MSC8138",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372418138",
            "telephone_number": "865-670-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 MIDDLE CREEK RD STE 260",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623055",
            "telephone_number": "865-428-7586",
            "fax_number": "865-428-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "AMY",
        "middle_name": "ROSE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN18476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WIDENER",
            "middle_name": "ROSE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.