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CRESTUS WILLIAM ROSER
NPI 1639810641
Physician Assistant in Savannah, TN

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
760 AIRWAYS BLVD, SAVANNAH, TN 38372(731) 607-5157 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2024, Jun 24, 2024, Apr 5, 2022 (3 updates tracked since 2022).

About Crestus William Roser NPPES

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

CRESTUS WILLIAM ROSER (NPI 1639810641) is an individual physician assistant in Savannah, Tennessee, licensed in Tennessee (6112) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639810641
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCRESTUS WILLIAM ROSER
Location Address760 AIRWAYS BLVDSavannah, TN 38372-3274
Mailing Address760 Airways BlvdSavannah, TN 38372-3274 · (731) 607-5157
Phone(731) 607-5157
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1639810641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 6112
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
760 AIRWAYS BLVD, Savannah, TN 38372
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Crestus William Roser 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 ID6901333012
PECOS Enrollment IDI20241231000481
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.

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 38372 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
$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.

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 Crestus Roser's NPI number?

The NPI number for Crestus Roser is 1639810641. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Crestus Roser located?

Crestus Roser practices at 760 Airways Blvd, Savannah, TN 38372. The listed phone number is (731) 607-5157.

What is Crestus Roser's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Crestus Roser enrolled in Medicare?

Yes. Crestus Roser 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.

What insurance does Crestus Roser accept?

Health plans from UnitedHealthcare list Crestus Roser 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 Crestus Roser affiliated with any hospitals?

According to CMS data, Crestus Roser is affiliated with Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for Crestus Roser was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.