ADRIAN ROLLE – Family Nurse Practitioner, NPI 1780225227

ADRIAN ROLLE is a healthcare provider. based in Tupelo, Mississippi. specializing in NURSE PRACTITIONER. They hold a License No. 903587 (MS). The NPI Number for ADRIAN ROLLE is 1780225227

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ADRIAN ROLLE
NPI
1780225227
Phone
Not provided
Address
830 S GLOSTER ST
Enumeration Date
7 October 2019
Last Update Date
7 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3864456191
Graduation Year
2019 (7 years ago)
PAC ID
4880012525
Group Practice PAC ID
9133108541
Professional Enrollment ID
I20230629000590
Address ID
FL321378683PA9XXXXDRXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

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Provider Addresses for ADRIAN ROLLE

  • North Mississippi Medical Center, 830, South Gloster Street, Clark Place, Tupelo, Lee County, Mississippi, 38801, United States

    TUPELO, MS 388014934

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-08-04 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($24).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200914000457INurse PractitionerTNTBD
I20230222001942INurse PractitionerTXTBD
I20230629000590INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8379$0
99214Established patient office or other outpatient visit, 30-39 minutes2424$0
96372Injection of drug or substance under skin or into muscle1513$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
81003Automated urinalysis test1212$0
View full utilization report →

Insurance plans in this area (ZIP 38801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133108541View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is ADRIAN ROLLE listed with a National Provider Identifier?
Yes — ADRIAN ROLLE has NPI 1780225227 on file in the registry.
Is there an active status for ADRIAN ROLLE?
For scheduling context, ADRIAN ROLLE is shown as active in the registry.
What kind of doctor is ADRIAN ROLLE?
ADRIAN ROLLE is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Mississippi is ADRIAN ROLLE registered?
Use Tupelo, Mississippi as the headline location for ADRIAN ROLLE here.
When was this NPI issued?
Enumeration for ADRIAN ROLLE is noted as October 7, 2019 where the registry provides it.

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