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ROXANNE M VALENTINO MD
NPI 1104868678
Psychiatry & Neurology - Sleep Medicine in Hendersonville, TN

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment
113 MAPLE ROW BLVD STE B, HENDERSONVILLE, TN 37075(615) 265-8776 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 15, 2023, Aug 12, 2019 (2 updates tracked since 2019).

About Roxanne M Valentino Md NPPES

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

ROXANNE M VALENTINO MD (NPI 1104868678) is an individual sleep medicine provider in Hendersonville, Tennessee, licensed in Tennessee (42960) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hendersonville, and is a graduate of Ohio State University College Of Medicine (2000).

NPPES Registry Identity

NPI1104868678
Entity TypeIndividualFemale
Primary Taxonomy2084S0012X
Provider Legal NameROXANNE M VALENTINOCredential: MD
Location Address113 MAPLE ROW BLVD STE BHendersonville, TN 37075-3846
Mailing Address3024 Business Park CirGoodlettsville, TN 37072-3132 · (615) 239-2018
Phone(615) 265-8776
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2000
Enumeration DateJune 11, 2006
Last NPPES UpdateFebruary 15, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2023
✔ NPI 1104868678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
License✔ Licensed in TN · 42960
Definition
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 42960 (TN)
113 MAPLE ROW BLVD STE B, Hendersonville, TN 37075
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Secondary Practice Location 1

Location 1114 Saundersville RdHendersonville, TN 37075-8967 · Phone (629) 888-5175 · Fax (629) 888-5176

Other Identifiers 2

Other4248274TN · Bcbs Tn
Medicaid1517330TN

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

Roxanne M Valentino Md 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 ID9032151832
PECOS Enrollment IDI20080603000391
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

3

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

Advanced Diagnostic Imaging, PC
5.9 mi
Internal Medicine
3024 BUSINESS PARK CIR
Goodlettsville, TN 37072
  • Reassigned Medicare billing, Tennessee enrollment
  • 734 clinicians in this Medicare group
NPI 1093741464 (615) 239-2061
Advanced Specialists, PC
5.9 mi
Internal Medicine
3024 BUSINESS PARK CIR
Goodlettsville, TN 37072
  • Reassigned Medicare billing, Tennessee enrollment
  • 317 clinicians in this Medicare group
NPI 1649133463 (615) 239-2018
Saint Thomas Medical Partners
16 mi
Clinical Neuropsychologist
2021 CHURCH ST, STE. 102
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,304 clinicians in this Medicare group
NPI 1558506980 (615) 284-7555

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
116 services89 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
112 services100 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
61 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
36 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37075 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
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 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers99 claims99 services$32.75 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers48 claims48 services$79.45 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers50 claims101 services$30.00 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers53 claims202 services$16.68 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers33 claims146 services$13.25 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers89 claims89 services$46.62 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

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

JORDAN IVY WINDERS
Physician Assistant
113 MAPLE ROW BLVD STE B
HENDERSONVILLE, TN 37075
Sumner County (615) 265-8776

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 Roxanne Valentino's NPI number?

The NPI number for Roxanne Valentino is 1104868678. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Roxanne Valentino located?

Roxanne Valentino practices at 113 Maple Row Blvd Ste B, Hendersonville, TN 37075. The listed phone number is (615) 265-8776.

What is Roxanne Valentino's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Roxanne Valentino enrolled in Medicare?

Yes. Roxanne Valentino 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 Roxanne Valentino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roxanne Valentino reassigns Medicare benefits to 3 organizations: Advanced Diagnostic Imaging, PC (Goodlettsville, TN), Advanced Specialists, PC (Goodlettsville, TN) and Saint Thomas Medical Partners (Nashville, 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 Roxanne Valentino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roxanne Valentino accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Roxanne Valentino 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.

When was this NPI record last updated?

The NPPES record for Roxanne Valentino was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.