Individual provider Active NPI

Susan O Roberts, FNP

  • Family Nurse Practitioner
  • Farragut, TN
National Provider Identifier
1619422136
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN21691 Issued in TN
Practice address
189 Brooklawn St
Farragut, TN 37934-2875
Phone
(865) 392-9136
NPI assigned
Aug 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000021691 TN
Family Nurse Practitioner 363LF0000X APN21691 TN Primary

Addresses

Primary practice location

189 Brooklawn St
Farragut, TN 37934-2875

Mailing address

PO Box 932958
Cleveland, OH 44193-2454

Other practice location 1

2001 Laurel Ave
Suite 101
Knoxville, TN 37916-1810
Phone (865) 549-4444

Other practice location 2

1932 Alcoa Hwy Ste 270
Knoxville, TN 37920-1537
Phone (865) 251-4658

Other identifiers 1

IdentifierTypeStateIssuer
Q024785MedicaidTN

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
I20161011002020 TN Practitioner - Nurse Practitioner 8527356328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

189 Brooklawn St
Farragut, TN 37934-2875
Phone (865) 392-9136

1930 Alcoa Hwy
Knoxville, TN 37920-1510

1930 Alcoa Hwy 235
Knoxville, TN 37920-1510
Phone (865) 305-4670

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

Merit-based Incentive Payment System (MIPS)

Final score
90.72 of 100Reported as group
Quality
91.46
Promoting interoperability
100
Improvement activities
40
Cost
77.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000021691TNMDFamily Nurse Practitioner
APN21691TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates, PC CurrentSince Jan 4, 2021 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Apr 21, 2025 Accepting new patients
University Health System Inc CurrentSince Dec 1, 2025 Accepting new patients
University Health System, Inc CurrentSince Dec 1, 2025 Accepting new patients
University Health System, Inc Current Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

1930 Alcoa Hwy
Ste 235
Knoxville, TN 37920
Phone (865) 305-4670

1311 Dowell Springs Blvd
Ste 300
Knoxville, TN 37909
Phone (865) 558-0606

1934 Alcoa Hwy
Ste 370
Knoxville, TN 37920
Phone (865) 305-5335

1932 Alcoa Hwy
Ste 270
Knoxville, TN 37920
Phone (865) 251-4658

189 Brooklawn St
Knoxville, TN 37934
Phone (865) 392-9136

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: susan.roberts@krogerhealth.eclinicaldirectplus.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 1

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1619422136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441932454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 BROOKLAWN ST",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379342875",
            "telephone_number": "865-392-9136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Laurel Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379161810",
            "country_code": "US",
            "telephone_number": "865-549-4444",
            "fax_number": "865-549-4449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1932 Alcoa Hwy Ste 270",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201537",
            "country_code": "US",
            "telephone_number": "865-251-4658",
            "fax_number": "865-251-4659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SUSAN",
        "middle_name": "O",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000021691",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN21691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q024785",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farragut, TN

Sources for this page

Verify at the official NPI Registry.