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

Q: 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.

Q: What is Betty Roe's specialty?

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

Q: 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.

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: October 25, 2026.

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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

Phone(731) 660-6915

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

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Other Names 1

Other Name (5)Betty Ann Butler

Other Identifiers 2

Medicare ID-Type Unspecified3343619TN

Medicare UPINS39285

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Betty Roe reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Humboldt Family Walk-In Clinic LLC

10 mi

Rural Health

1600 COLEMAN DR
Humboldt, TN 38343

Reassigned Medicare billing, Tennessee enrollment
5 clinicians in this Medicare group

NPI 1881135895 (731) 470-4020

Frix-Jennings Clinic PC

21 mi

Family Medicine

116 W MAIN ST
Henderson, TN 38340

Reassigned Medicare billing, Tennessee enrollment
15 clinicians in this Medicare group

NPI 1174749469 (731) 989-0001

Premier Family Care Inc.

34 mi

Family Medicine

9458 HIGHWAY 100
Scotts Hill, TN 38374

Reassigned Medicare billing, Tennessee enrollment
6 clinicians in this Medicare group

NPI 1992338644 (731) 549-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ERIN WILLIAMS FNP

Nurse Practitioner (Family)

176 W UNIVERSITY PKWY STE C
JACKSON, TN 38305

Madison County (731) 660-6915

CELENA TERRI PERRY FNP

Nurse Practitioner (Family)

176 W UNIVERSITY PKWY STE C
JACKSON, TN 38305

Madison County (731) 660-6916

JAMES LUTHER CRABB MD

Family Medicine

176 W UNIVERSITY PKWY STE C
JACKSON, TN 38305

Madison County (731) 660-6915

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.

Which organizations bill Medicare for Betty Roe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Betty Roe reassigns Medicare benefits to 3 organizations: Humboldt Family Walk-In Clinic LLC (Humboldt, TN), Frix-Jennings Clinic PC (Henderson, TN) and Premier Family Care Inc. (Scotts Hill, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Betty Roe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Betty Roe accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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.