Christine Thomas Roper, FNP

Individual provider Active NPI Family Nurse Practitioner · Pine Hill, NM

NPI 1992194021 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1992194021
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
184167 (GA)
Practice address
12 Bia 120
PO Box 310
Pine Hill, NM 87357-0310
Phone
(505) 775-3271
Fax
(706) 387-7638
NPI assigned
Jan 13, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Ramah Navajo School Board, Inc (5 clinicians)

Practice addresses (Care Compare)

Bia Route 140
Pinehill, NM 87357-0310
Phone (505) 775-3271

PO Box
Pinehill, NM 87357-0310

Hospital & facility affiliations

  • Cibola General Hospital Hospital · Grants, NM · CCN 321308

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230503002639 NM Practitioner - Nurse Practitioner 2769700624 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
184167GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ramah Navajo School Board, Inc Current
since Jan 1, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 184167 GA Yes
Gerontology Nurse Practitioner 363LG0600X 184167 GA

Addresses

Primary practice location

12 Bia 120
PO Box 310
Pine Hill, NM 87357-0310

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4211

Other identifiers

IdentifierTypeStateIssuer
87984083MedicaidNM

Other names

  • Ms. Christine Lynn Roper Former name

Other providers in Pine Hill, NM

All providers in Pine Hill, NM · Family Nurse Practitioner in New Mexico

Sources for this page

Verify at the official NPI Registry.