ANNE ELLEN ROBERSON – Acute Care Nurse Practitioner, NPI 1124671060

ANNE ELLEN ROBERSON is a healthcare provider. based in Bartlett, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. APN0000026117 (TN). The NPI Number for ANNE ELLEN ROBERSON is 1124671060

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ANNE ELLEN ROBERSON
NPI
1124671060
Phone
(901) 619-7073
Address
3924 OAK BRANCH CIR E
Enumeration Date
19 July 2019
Last Update Date
19 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9012762662
Graduation Year
2019 (7 years ago)
PAC ID
8123456415
Group Practice PAC ID
5092700518
Professional Enrollment ID
I20200320000000
Address ID
TN381570800ME5050XAVEX301
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

10,664 NURSE PRACTITIONER in TN

Provider Addresses for ANNE ELLEN ROBERSON

  • 3924 OAK BRANCH CIR E

    BARTLETT, TN 381350223

    Phone: (901) 619-7073

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200320000000INurse PractitionerTNTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5453$0
31500Emergent insertion of breathing tube into windpipe using an endoscope1818$0
92950Manual attempt to restore blood circulation and breathing1514$0
View full utilization report →

Insurance plans in this area (ZIP 38135)

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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: 5092700518View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Pulmonary Disease, Critical Care (Intensivists)TN
Pulmonary Disease, Critical Care (Intensivists)TN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
Nurse PractitionerTN
Pulmonary Disease, Critical Care (Intensivists)TN

Reviews

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Frequently asked questions

What is the standard ID for ANNE ELLEN ROBERSON in the U.S.?
In the U.S., ANNE ELLEN ROBERSON is identified by NPI 1124671060.
Should I treat ANNE ELLEN ROBERSON as an active provider?
Patients and plans typically see ANNE ELLEN ROBERSON as active in the national extract.
Which specialty label fits ANNE ELLEN ROBERSON?
NPPES ties ANNE ELLEN ROBERSON to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ANNE ELLEN ROBERSON?
ANNE ELLEN ROBERSON shows a connection to Bartlett, Tennessee in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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