ROATHIPOUN PO (AGACNP-BC) – Gerontology Nurse Practitioner, NPI 1407460074
Gerontology Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for ROATHIPOUN PO (AGACNP-BC)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 372322020
Phone: (615) 322-3000
Type: Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone:
Fax: (615) 322-5048
Type: Mailing
5428 HICKORY WOODS DR
ANTIOCH, TN 370135678
Phone: (615) 554-9272
Type: Mailing
1215 21st Ave S
Nashville, TN 372322020
Phone: (615) 322-5000
Type: Location
4230 Harding Pike Ste 200
Nashville, TN 372052020
Phone: (615) 964-5864
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $330.
Total Amount is formed as General ($330) + Research ($0) + Ownership ($0) = $330.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Inari Medical, Inc. ($137).
Total Amount
$330
General + Research + Ownership
Payments
6
Total payment records
General Amount
$330
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-11-25
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 |
|---|---|---|---|---|
| I20201125000182 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 201 | 109 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 100 | 61 | $0 |
| 99292 | Critical care, each additional 30 minutes | 19 | 11 | $0 |
Insurance plans in this area (ZIP 37232)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TN | |
| Pediatric Medicine | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology, Interventional Pain Management | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| N E U R O L O G Y | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Internal Medicine | TN |
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