Mrs Kristina Ann Roark, NP-C in Blountville, TN

Mrs Kristina Ann Roark, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Blountville, Tennessee. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brock Medical, Llc and her current practice location is 1913 Highway 394, Blountville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 662-7002.

Mrs Kristina Ann Roark is licensed to practice in Tennessee (license number 22679) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235438144.

Contact Information

	Mrs Kristina Ann Roark, NP-C
	1913 Highway 394, Blountville, TN 37617-5349
	(423) 662-7002
	(423) 662-7003

Map and Direction

Provider's Profile

Full Name	Mrs Kristina Ann Roark
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	1913 Highway 394, Blountville, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kristina Ann Roark graduated from nursing school in 2010

NPI Data:

NPI Number: 1235438144
Provider Enumeration Date: 03/17/2011
Last Update Date: 04/05/2024

Medicare PECOS Information:

PECOS PAC ID: 6507034980
Enrollment ID: I20240408000933

Medical Identifiers

Medical identifiers for Mrs Kristina Ann Roark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235438144	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3006867 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	22679 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brock Medical, Llc	9830354638	89

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kristina Ann Roark allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristina Ann Roark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kristina Ann Roark, NP-C 1913 Highway 394, Blountville, TN 37617-5349 Ph: (423) 662-7002	Mrs Kristina Ann Roark, NP-C 1913 Highway 394, Blountville, TN 37617-5349 Ph: (423) 662-7002

Reviews and Comments

Nurse Practitioner Nurses in Blountville, TN

Megan Dugger, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1913 Highway 394, Blountville, TN 37617 Phone: 423-662-7002
Ashley Brooke Booher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1913 Highway 394 Ste 2, Blountville, TN 37617 Phone: 423-662-6002
Cori Baker, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1913 Highway 394, Blountville, TN 37617 Phone: 423-662-7002 Fax: 423-662-7003
Ms. Jennifer Jane Williams, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 154 Blountville Bypass, Blountville, TN 37617 Phone: 423-279-2638 Fax: 423-279-2727
Alicia D Frasure, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 154 Blountville Byp, Blountville, TN 37617 Phone: 423-279-2777 Fax: 423-279-2797

Mrs Kristina Ann Roark, NP-C - Medicare Nurse Practitioner in Blountville, TN