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AMANDA R ROARK CRNA
NPI 1386975738
Nurse Anesthetist, Certified Registered in Johnson City, TN

Active since January 26, 2010Accepts Medicare Assignment
601 MED TECH PKWY, JOHNSON CITY, TN 37604(423) 610-1020 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda R Roark Crna NPPES

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

AMANDA R ROARK CRNA (NPI 1386975738) is an individual nurse anesthetist, certified registered in Johnson City, Tennessee, licensed in Tennessee (82957) and active in the NPI registry since January 2010. She maintains 2 additional practice locations and is a graduate of Other (2009).

NPPES Registry Identity

NPI1386975738
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAMANDA R ROARKCredential: CRNA
Location Address601 MED TECH PKWYJohnson City, TN 37604-2253
Mailing Address1009 Lark St Ste 2Johnson City, TN 37604-8218 · (423) 844-2686 · Fax (423) 844-2688
Phone(423) 610-1020
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 26, 2010
Last NPPES UpdateApril 25, 2019
✔ NPI 1386975738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TN · 82957
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
601 MED TECH PKWY, Johnson City, TN 37604
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Medical Park BlvdBristol, TN 37620-7430 · Phone (423) 844-2686 · Fax (423) 844-2688
Location 2400 N State Of Franklin RdJohnson City, TN 37604-6035 · Phone (423) 431-6111

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

Amanda R Roark Crna 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 ID1951430628
PECOS Enrollment IDI20100519000353

Medicare Billing Reassignments

7

Medicare enrollment records show Amanda Roark reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellmont Medical Associates, Inc.
0.1 mi
Psychiatry
701 MED TECH PKWY STE 200
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1275393522 (423) 302-3480
Bright Night Anesthesia
0.3 mi
Nurse Anesthetist, Certified Registered
2328 KNOB CREEK RD
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group
NPI 1427486430 (423) 639-0941
Smokey Mountain Anesthesia PC
0.5 mi
Nurse Anesthetist, Certified Registered
110 MED TECH PKWY
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 10 clinicians in this Medicare group
NPI 1538196829 (423) 722-0371
Tennessee Valley Anesthesia Associates, LLC
2.2 mi
Nurse Anesthetist, Certified Registered
310 N STATE OF FRANKLIN RD STE 202
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 33 clinicians in this Medicare group
NPI 1053881706 (423) 434-3700
Advanced Anesthesia Solutions Inc.
19 mi
Nurse Anesthetist, Certified Registered
320 BRISTOL WEST BLVD STE 1A
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee enrollment
  • 31 clinicians in this Medicare group
NPI 1164772109 (423) 226-2479
American Anesthesiology Of Tennessee, P.C.
90 mi
Nurse Anesthetist, Certified Registered
501 20TH ST, SUITE 606
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: American Anesthesiology Of Tennessee PC
  • 959 clinicians in this Medicare group
NPI 1245279777 (865) 546-8040
Anesthesia Dynamics LLC
609 mi
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Tennessee enrollment
  • 65 clinicians in this Medicare group
NPI 1073001012 (888) 851-4642

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 4

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
248 services239 patients
Anesthesia for retinal surgery 00145
Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).
55 services52 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
34 services29 patients
Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 4

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

EMPICARE, INC.
Prosthetic/Orthotic Supplier
601 MED TECH PKWY
JOHNSON CITY, TN 37604
Washington County (423) 282-8105
MOUNTAIN EMPIRE SURGERY CENTER LP
Clinic/Center (Ambulatory Surgical)
601 MED TECH PKWY
JOHNSON CITY, TN 37604
Washington County (423) 610-1020
RACHEL C ROLLER CRNA
Nurse Anesthetist, Certified Registered
601 MED TECH PKWY
JOHNSON CITY, TN 37604
Washington County (423) 610-1020
LISA KAY ROOT CRNA
Nurse Anesthetist, Certified Registered
601 MED TECH PKWY
JOHNSON CITY, TN 37604
Washington County (423) 610-1020

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 Amanda Roark's NPI number?

The NPI number for Amanda Roark is 1386975738. It was assigned to this individual provider in the NPPES registry on January 26, 2010.

Where is Amanda Roark located?

Amanda Roark practices at 601 Med Tech Pkwy, Johnson City, TN 37604. The listed phone number is (423) 610-1020.

What is Amanda Roark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Amanda Roark enrolled in Medicare?

Yes. Amanda Roark 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 Amanda Roark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Roark reassigns Medicare benefits to 7 organizations: Wellmont Medical Associates, Inc. (Johnson City, TN), Bright Night Anesthesia (Johnson City, TN), Smokey Mountain Anesthesia PC (Johnson City, TN), Tennessee Valley Anesthesia Associates, LLC (Johnson City, TN), Advanced Anesthesia Solutions Inc. (Bristol, TN) and 2 more organizations, listed in the Medicare section above. 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 Amanda Roark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Roark accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Amanda Roark 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 Amanda Roark was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.