MR. RANNEN ROBERSON
NPI 1356027171
Counselor - Professional in Florence, KY
About Mr. Rannen Roberson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RANNEN ROBERSON (NPI 1356027171) is an individual professional provider in Florence, Kentucky, licensed in Kentucky (300887) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Rannen Roberson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rannen Roberson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Buckner, KY 40010
- Reassigned Medicare billing, Kentucky enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLORENCE, KY 41042
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 Rannen Roberson's NPI number?
The NPI number for Rannen Roberson is 1356027171. It was assigned to this individual provider in the NPPES registry on June 26, 2023.
Where is Rannen Roberson located?
Rannen Roberson practices at 4885 Houston Rd Ste 200, Florence, KY 41042. The listed phone number is (859) 525-0185.
What is Rannen Roberson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Rannen Roberson enrolled in Medicare?
Yes. Rannen Roberson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rannen Roberson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rannen Roberson reassigns Medicare benefits to Prodigal Ministries, LLC (Buckner, 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 Rannen Roberson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rannen Roberson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Rannen Roberson 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 Rannen Roberson was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mr. Rannen Roberson · NPI 1356027171
Professional provider in Florence, Kentucky. Individual provider, active in the CMS NPPES registry since June 26, 2023.
## Identity
- **NPI:** 1356027171 (Entity type: Individual)
- **Enumerated:** June 26, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 300887 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 4885 HOUSTON RD STE 200, Florence, KY 41042-4894
- **Phone:** (859) 525-0185
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Prodigal Ministries, LLC (NPI 1013662717, Buckner, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356027171) · Data from the CMS NPPES public registry.