CONSTANCE A ROSENBALM FNP
NPI 1669856662
Nurse Practitioner - Family in New Tazewell, TN

Active since July 20, 2015PECOS EnrolledAccepts Medicare Assignment
606 N BROAD ST, NEW TAZEWELL, TN 37825(423) 626-0466(423) 626-0467 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2022, Oct 18, 2019 (2 updates tracked since 2019).

About Constance A Rosenbalm Fnp NPPES

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

CONSTANCE A ROSENBALM FNP (NPI 1669856662) is an individual family provider in New Tazewell, Tennessee, licensed in Tennessee (20114) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Claiborne Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669856662
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCONSTANCE A ROSENBALMCredential: FNP
Location Address606 N BROAD STNew Tazewell, TN 37825-6610
Mailing Address606 N Broad StNew Tazewell, TN 37825-6610 · (423) 626-0466 · Fax (423) 626-0467
Fax(423) 626-0467
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 20, 2015
Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration
NPPES CertifiedDecember 27, 2021
NPI 1669856662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 20114
606 N BROAD ST, New Tazewell, TN 37825

Other Names 1

Other Name (5)Angie Rosenbalm

Accepted 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

Constance A Rosenbalm Fnp 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 ID5193032183
PECOS Enrollment IDI20160122001393
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 3

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.
190 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
148 services51 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
63 services17 patients

Hospital Affiliations CMS Care Compare

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

Claiborne Medical Center

Acute Care Hospitals · Tazewell, TN
OwnershipGovernment - Local
CMS Certification Number440057
Location1850 Old Knoxville HighwayTazewell, TN 37879 · Claiborne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37825 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%32 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
3 suppliers13 claims13 services$7.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Family Medicine
606 N BROAD ST
NEW TAZEWELL, TN 37825
Family Medicine
606 N BROAD ST
NEW TAZEWELL, TN 37825
Pharmacy (Community/Retail Pharmacy)
606 N BROAD ST
NEW TAZEWELL, TN 37825
Family Medicine
606 N BROAD ST
NEW TAZEWELL, TN 37825
Nurse Practitioner (Family)
606 N BROAD ST
NEW TAZEWELL, TN 37825

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 Constance Rosenbalm's NPI number?

The NPI number for Constance Rosenbalm is 1669856662. It was assigned to this individual provider in the NPPES registry on July 20, 2015. The provider is also known as Angie Rosenbalm.

Where is Constance Rosenbalm located?

Constance Rosenbalm practices at 606 N Broad St, New Tazewell, TN 37825. The listed phone number is (423) 626-0466.

What is Constance Rosenbalm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Constance Rosenbalm enrolled in Medicare?

Yes. Constance Rosenbalm 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 Constance Rosenbalm accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Constance Rosenbalm 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 Constance Rosenbalm affiliated with any hospitals?

According to CMS data, Constance Rosenbalm is affiliated with Claiborne Medical Center.

When was this NPI record last updated?

The NPPES record for Constance Rosenbalm was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.