ROATHIPOUN PO AGACNP-BC
NPI 1407460074
Nurse Practitioner - Gerontology in Nashville, TN

Q: What is Roathipoun Po's NPI number?

The NPI number for Roathipoun Po is 1407460074. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Q: What is Roathipoun Po's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Roathipoun Po was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 01, 2020PECOS EnrolledAccepts Medicare Assignment

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2024, Jun 5, 2024, May 15, 2023 and 2 more (5 updates tracked since 2020).

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About Roathipoun Po Agacnp-bc NPPES

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

ROATHIPOUN PO AGACNP-BC (NPI 1407460074) is an individual gerontology provider in Nashville, Tennessee, licensed in Tennessee (28231) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407460074

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameROATHIPOUN POCredential: AGACNP-BC

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-2020

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · Fax (615) 322-5048

Phone(615) 322-3000

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2020

Enumeration DateSeptember 1, 2020

Last NPPES UpdateJuly 24, 20255 updates tracked since enumeration

NPPES CertifiedJuly 24, 2025

✔ NPI 1407460074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in TN · 28231

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 188273 (TN)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 28231 (TN)

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

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Secondary Practice Locations 2

Location 11215 21st Ave SNashville, TN 37232-2020 · Phone (615) 322-5000

Location 24230 Harding Pike Ste 200Nashville, TN 37205-2020 · Phone (615) 964-5864

Other Identifiers 1

MedicaidQ061916TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roathipoun Po Agacnp-bc 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 ID6709297674

PECOS Enrollment IDI20201125000182

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.

Areas of Expertise CMS Part B claims 2

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

59 services51 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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.

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. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)