Amanda R Roark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Johnson City, TN

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Amanda R Roark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Johnson City, Tennessee. She graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Smokey Mountain Anesthesia Pc, Tennessee Valley Anesthesia Associates Llc and her current practice location is 601 Med Tech Pkwy, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 610-1020.

Amanda R Roark is licensed to practice in Tennessee (license number 82957) 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 1386975738.

Contact Information

Amanda R Roark, CRNA
601 Med Tech Pkwy,
Johnson City, TN 37604-2253
(423) 610-1020
Not Available

Map and Direction




Provider's Profile

Full NameAmanda R Roark
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience17 Years
Location601 Med Tech Pkwy, Johnson City, 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:
  • Amanda R Roark graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1386975738
  • Provider Enumeration Date: 01/26/2010
  • Last Update Date: 04/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1951430628
  • Enrollment ID: I20100519000353

Medical Identifiers

Medical identifiers for Amanda R Roark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386975738NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 82957 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smokey Mountain Anesthesia Pc07491943635
Tennessee Valley Anesthesia Associates Llc125467722211

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. Amanda R Roark allows following entities to bill medicare on her behalf.
Entity NameSmokey Mountain Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538196829
PECOS PAC ID: 0749194363
Enrollment ID: O20031118000489
Entity NameAmerican Anesthesiology Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609822998
PECOS PAC ID: 9931001922
Enrollment ID: O20040713001364
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909
Entity NameAdvanced Anesthesia Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164772109
PECOS PAC ID: 7315200664
Enrollment ID: O20180419000153
Entity NameTennessee Valley Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053881706
PECOS PAC ID: 1254677222
Enrollment ID: O20190111001324
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20200801000026

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. Amanda R 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 AddressPractice Location Address
Amanda R Roark, CRNA
1009 Lark St Ste 2,
Johnson City, TN 37604-8218

Ph: (423) 844-2686		Amanda R Roark, CRNA
601 Med Tech Pkwy,
Johnson City, TN 37604-2253

Ph: (423) 610-1020

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Johnson City, TN

Shawn D Bright, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604
Phone: 423-283-0776    Fax: 423-283-0549
Lisa W Green, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1009 Lark St, Suite 2, Johnson City, TN 37604
Phone: 423-283-0776    Fax: 423-283-0549
Marcos D Demoura, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 818 Sunset Dr Ste 103, Johnson City, TN 37604
Phone: 423-794-3142    
Chasity A Huffman, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604
Phone: 423-283-0776    Fax: 423-968-5697
Mrs. Jewel B Welch, CRNAP
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1009 Novus Dr, Johnson City, TN 37604
Phone: 423-283-0776    
Johnny Lee Estep, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1009 Novus Dr, Johnson City, TN 37604
Phone: 423-282-0776    
Samuel V Davenport, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-431-6111    

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.