MS. BETTY A ROE APN BC NPI 1083692164

NPI Information

  • NPI: 1083692164
  • Provider Name: MS. BETTY A ROE, APN BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 176 W UNIVERSITY PKWY STE C
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 660-6915

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NPI Details

MS. Betty A Roe, APN BC is a family nurse practitioner in Jackson, TN with 30 years of experience. MS. Betty A Roe, APN BC NPI is 1083692164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

176 W UNIVERSITY PKWY STE C
JACKSON, TN
ZIP 38305-618
Phone: (731) 660-6915
Fax: (731) 668-4557

The NPI 1083692164 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Hemoglobin a1c level (HCPCS:83036)
  • Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b (HCPCS:87636)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Urinalysis, manual test (HCPCS:81002)
  • Detection test by immunoassay technique for influenza virus (HCPCS:87400)

The enumeration date for this NPI number is 1/9/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily33929TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13343619MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
2S39285MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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