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TABITHA LOUISE ROACH APRN
NPI 1336761253
Nurse Practitioner - Psychiatric/Mental Health in Fort Knox, KY

Active since May 13, 2020PECOS Enrolled
200 BRULE ST, FORT KNOX, KY 40121(502) 626-9891(502) 626-6140 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2025, Feb 9, 2022, Aug 20, 2021 and 2 more (5 updates tracked since 2020).

About Tabitha Louise Roach Aprn NPPES

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

TABITHA LOUISE ROACH APRN (NPI 1336761253) is an individual psychiatric/mental health provider in Fort Knox, Kentucky, licensed in Kentucky (3015334) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336761253
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTABITHA LOUISE ROACHCredential: APRN
Location Address200 BRULE STFort Knox, KY 40121-6100
Mailing Address200 Brule StFort Knox, KY 40121-6100 · (502) 626-9891 · Fax (502) 626-6140
Phone(502) 626-9891
Fax(502) 626-6140
Sole ProprietorNo
Enumeration DateMay 13, 2020
Last NPPES UpdateJune 26, 20255 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1336761253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in KY · 3015334✔ Licensed in IN · 71012162A
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 1136348 (KY)
200 BRULE ST, Fort Knox, KY 40121
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabitha Louise Roach Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Tabitha Roach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Breckinridge Health Inc
19 mi
Family Medicine
13988 E HIGHWAY 60
Irvington, KY 40146
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1649798075 (Kentucky)
  • 33 clinicians in this Medicare group
NPI 1831990662 (270) 756-7000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40121 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 20

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

DR. TINA MARIA MASCARENHAS DO, MPH
Radiology (Diagnostic Radiology)
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9961
ELIZABETH D WATERS PHD
Psychologist (Counseling)
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9885
DR. FRANCIS H BOUDREAU MD
Pediatrics
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9834
GARY MCCOWN RN, CCM
Registered Nurse (Case Management)
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9770
MRS. STEPHANIE KATHERINE HEAD LMFT, LCSW
Social Worker (Clinical)
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9954
ALYSHA ALDRIDGE PHARMD
Pharmacist
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9695
DAYNA RAY APRN
Nurse Practitioner (Family)
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9669
DR. STEPHANIE JOHNSON OD
Optometrist
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9993

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 Tabitha Roach's NPI number?

The NPI number for Tabitha Roach is 1336761253. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Tabitha Roach located?

Tabitha Roach practices at 200 Brule St, Fort Knox, KY 40121. The listed phone number is (502) 626-9891.

What is Tabitha Roach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tabitha Roach enrolled in Medicare?

Yes. Tabitha Roach is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tabitha Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha Roach reassigns Medicare benefits to Breckinridge Health Inc (Irvington, KY). The 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 Tabitha Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tabitha Roach was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.