MS. BETTY A ROE APN BC
NPI 1083692164
Nurse Practitioner - Family in Jackson, TN

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
176 W UNIVERSITY PKWY STE C, JACKSON, TN 38305(731) 660-6915(731) 668-4557 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Betty A Roe Apn Bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BETTY A ROE APN BC (NPI 1083692164) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (33929) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1083692164
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. BETTY A ROECredential: APN BC
Location Address176 W UNIVERSITY PKWY STE CJackson, TN 38305-1618
Mailing Address309 Key Senter RdJackson, TN 38305 · (731) 267-0239 · Fax (731) 847-6579
Fax(731) 668-4557
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 9, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083692164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 33929
176 W UNIVERSITY PKWY STE C, Jackson, TN 38305

Other Names 1

Other Name (5)Betty Ann Butler

Other Identifiers 2

Medicare ID-Type Unspecified3343619TN
Medicare UPINS39285

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Betty A Roe Apn Bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476532813
PECOS Enrollment IDI20040719000576
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

West Tennessee Healthcare Milan Hospital

Acute Care Hospitals · Milan, TN
OwnershipGovernment - Local
CMS Certification Number440060
Location4039 Highland StMilan, TN 38358 · Gibson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$81.77 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
176 W UNIVERSITY PKWY STE C
JACKSON, TN 38305
Nurse Practitioner (Family)
176 W UNIVERSITY PKWY STE C
JACKSON, TN 38305
Family Medicine
176 W UNIVERSITY PKWY STE C
JACKSON, TN 38305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Betty Roe's NPI number?

The NPI number for Betty Roe is 1083692164. It was assigned to this individual provider in the NPPES registry on January 9, 2006. The provider is also known as Betty Ann Butler.

Where is Betty Roe located?

Betty Roe practices at 176 W University Pkwy Ste C, Jackson, TN 38305. The listed phone number is (731) 660-6915.

What is Betty Roe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Betty Roe enrolled in Medicare?

Yes. Betty Roe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Betty Roe accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Betty Roe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Betty Roe affiliated with any hospitals?

According to CMS data, Betty Roe is affiliated with Jackson-Madison County General Hospital and West Tennessee Healthcare Milan Hospital.

When was this NPI record last updated?

The NPPES record for Betty Roe was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.