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

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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 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Kentucky, Pllc, Fast Pace Kentucky, Pllc, 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 NameMrs Kristina Ann Roark
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location1913 Highway 394, Blountville, 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:
  • 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: I20110801000053

Medical Identifiers

Medical identifiers for Mrs Kristina Ann Roark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235438144NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3006867 (Kentucky)Secondary
363LF0000XNurse Practitioner - Family 22679 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fast Pace Kentucky, Pllc0143525998180
Fast Pace Kentucky, Pllc0143525998180
Brock Medical, Llc983035463889

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 NameBrock Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023379815
PECOS PAC ID: 9830354638
Enrollment ID: O20120628000567
Entity NameFast Pace Kentucky, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457716706
PECOS PAC ID: 0143525998
Enrollment ID: O20160216002913

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 AddressPractice 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

Ashley Brooke Booher, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1913 Highway 394 Ste 2, Blountville, TN 37617
Phone: 423-662-6002    
Cori Baker, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
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
Leslie Sullins, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1913 Highway 394, Blountville, TN 37617
Phone: 423-662-7002    

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.