1. Home
  2. Directory
  3. Tennessee
  4. Dyersburg
  5. Nurse Practitioner
  6. NPI Profile

COURTNEY WHITE ROBERSON NP
NPI 1366073041
Nurse Practitioner in Dyersburg, TN

Active since January 30, 2020PECOS EnrolledAccepts Medicare Assignment
1575 PARR AVE, SUITE B, DYERSBURG, TN 38024(731) 286-1510(731) 286-1510 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 4, 2021, Jan 30, 2020 (2 updates tracked since 2020).

About Courtney White Roberson Np NPPES

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

COURTNEY WHITE ROBERSON NP (NPI 1366073041) is an individual nurse practitioner in Dyersburg, Tennessee, licensed in Tennessee (27094) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366073041
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCOURTNEY WHITE ROBERSONCredential: NP
Location Address1575 PARR AVE, SUITE BDyersburg, TN 38024
Mailing Address160 W. University Pkwy, Suite CJackson, TN 38305 · (731) 286-1510 · Fax (731) 286-1510
Phone(731) 286-1510
Fax(731) 286-1510
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 30, 2020
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
✔ NPI 1366073041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 27094
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1575 PARR AVE, SUITE B, Dyersburg, TN 38024
Open in Google Maps ↗

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

Courtney White Roberson Np 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 ID8022448505
PECOS Enrollment IDI20200423003134
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

2

Medicare enrollment records show Courtney Roberson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kidney Experts PLLC
Same address
Nephrology
1575 PARR AVE # B
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 15 clinicians in this Medicare group
NPI 1225529142 (731) 286-1510
West Tennessee Bone And Joint Clinic PC
39 mi
Specialist
50 CAPITAL AVE
Jackson, TN 38305
  • Reassigned Medicare billing, Tennessee enrollment
  • 75 clinicians in this Medicare group
NPI 1831312461 (731) 410-2308

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 9

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.
455 services411 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
140 services14 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
76 services37 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
51 services51 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.
35 services35 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
34 services33 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38024 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.

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 Courtney Roberson's NPI number?

The NPI number for Courtney Roberson is 1366073041. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Where is Courtney Roberson located?

Courtney Roberson practices at 1575 Parr Ave, Suite B, Dyersburg, TN 38024. The listed phone number is (731) 286-1510.

What is Courtney Roberson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Courtney Roberson enrolled in Medicare?

Yes. Courtney Roberson 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 Courtney Roberson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Roberson reassigns Medicare benefits to 2 organizations: Kidney Experts PLLC (Dyersburg, TN) and West Tennessee Bone And Joint Clinic PC (Jackson, 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 Courtney Roberson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Roberson 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 Courtney 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.

Is Courtney Roberson affiliated with any hospitals?

According to CMS data, Courtney Roberson is affiliated with Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for Courtney Roberson was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.