AMANDA R ROARK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1386975738
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN
Provider Addresses for AMANDA R ROARK (CRNA)
1 Medical Park Blvd
Bristol, TN 376207430
Phone: (423) 844-2686
Fax: (423) 844-2688
Type: Location
400 N State Of Franklin Rd
Johnson City, TN 376046035
Phone: (423) 431-6111
Type: Location
Lark Street, Arbor Heights, Johnson City, Washington County, Tennessee, 37604, United States
JOHNSON CITY, TN 376048218
Phone: (423) 844-2686
Fax: (423) 844-2688
Type: Mailing
601, Med Tech Parkway, Camelot Two, Johnson City, Washington County, Tennessee, 37604, United States
JOHNSON CITY, TN 376042253
Phone: (423) 610-1020
Type: Location
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: 2010-05-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100519000353 | I | Certified Registered Nurse Anesthetist (Crna) | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 225 | 204 | $0 |
| 00145 | Anesthesia for retinal surgery | 39 | 37 | $0 |
| 00140 | Anesthesia for other procedure on eye | 31 | 27 | $0 |
| 00103 | Anesthesia for procedure on eyelid | 29 | 29 | $0 |
Insurance plans in this area (ZIP 37620)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN |
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