Stephanie Renee Roach, FNP - Medicare Nurse Practitioner in Kingsport, TN

Stephanie Renee Roach, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kingsport, 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 Holston Medical Group Pc, Holston Medical Group Pc and her current practice location is 2020 Brookside Dr, Suite 20, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 247-7030.

Stephanie Renee Roach is licensed to practice in Tennessee (license number 15751) 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 1275820599.

Contact Information

Stephanie Renee Roach, FNP
2020 Brookside Dr, Suite 20,
Kingsport, TN 37660-4633
(423) 247-7030
(423) 247-7033

Map and Direction




Provider's Profile

Full NameStephanie Renee Roach
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location2020 Brookside Dr, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephanie Renee Roach graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1275820599
  • Provider Enumeration Date: 07/07/2011
  • Last Update Date: 07/07/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1759553241
  • Enrollment ID: I20111005000339

Medical Identifiers

Medical identifiers for Stephanie Renee Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275820599NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 15751 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mountain Regional Personal Care Services IncDuffield, VAHome health agency
Wellmont Holston Valley Medical CenterKingsport, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holston Medical Group Pc8224935754227
Holston Medical Group Pc8224935754227

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. Stephanie Renee Roach allows following entities to bill medicare on her behalf.
Entity NameHolston Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831110667
PECOS PAC ID: 8224935754
Enrollment ID: O20031216000416

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. Stephanie Renee Roach 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 AddressPractice Location Address
Stephanie Renee Roach, FNP
Po Box 4842,
Johnson City, TN 37602-4842

Ph: (423) 247-7030
Stephanie Renee Roach, FNP
2020 Brookside Dr, Suite 20,
Kingsport, TN 37660-4633

Ph: (423) 247-7030

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.