ROATHIPOUN PO AGACNP-BC
NPI 1407460074
Nurse Practitioner - Gerontology in Nashville, TN
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
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Roathipoun Po reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Nashville, TN 37232
- Reassigned Medicare billing, Tennessee enrollment
- 4,711 clinicians in this Medicare group
Goodlettsville, TN 37072
- Reassigned Medicare billing, Tennessee enrollment
- 734 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.
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.
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, TNPhysician 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.
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.
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
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 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.
Where is Roathipoun Po located?
Roathipoun Po practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 322-3000.
What is Roathipoun Po's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Roathipoun Po enrolled in Medicare?
Yes. Roathipoun Po 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 Roathipoun Po's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roathipoun Po reassigns Medicare benefits to 2 organizations: Vanderbilt University Medical Center (Nashville, TN) and Advanced Diagnostic Imaging, PC (Goodlettsville, 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 Roathipoun Po's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roathipoun Po accept?
Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list Roathipoun Po 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 Roathipoun Po affiliated with any hospitals?
According to CMS data, Roathipoun Po is affiliated with Vanderbilt University Medical Center.
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 15 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.
# Roathipoun Po, AGACNP-BC · NPI 1407460074
Gerontology physician in Nashville, Tennessee. Individual provider, active in the CMS NPPES registry since September 1, 2020.
## Identity
- **NPI:** 1407460074 (Entity type: Individual)
- **Enumerated:** September 1, 2020
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 28231 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 THE VANDERBILT CLINIC, Nashville, TN 37232-2020
- **Phone:** (615) 322-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Vanderbilt University Medical Center (NPI 1104202761, Nashville, TN); Advanced Diagnostic Imaging, PC (NPI 1093741464, Goodlettsville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** July 24, 2025
- **Other identifiers:** Medicaid Q061916 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1407460074) · Data from the CMS NPPES public registry.