ADRIAN ROLLE
NPI 1780225227
Nurse Practitioner - Family in Tupelo, MS

Q: What is Adrian Rolle's NPI number?

The NPI number for Adrian Rolle is 1780225227. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Q: What is Adrian Rolle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Adrian Rolle was last updated on October 7, 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.

Active since October 07, 2019PECOS Enrolled

830 S GLOSTER ST, TUPELO, MS 38801(662) 377-3270 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Adrian Rolle NPPES

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

ADRIAN ROLLE (NPI 1780225227) is an individual family provider in Tupelo, Mississippi, licensed in Mississippi (903587) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780225227

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameADRIAN ROLLE

Location Address830 S GLOSTER STTupelo, MS 38801-4934

Mailing Address830 S Gloster StTupelo, MS 38801-4934

Phone(662) 377-3270

Sole ProprietorYes

Enumeration DateOctober 7, 2019

✔ NPI 1780225227 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 MS · 903587

830 S GLOSTER ST, Tupelo, MS 38801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adrian Rolle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Adrian Rolle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fast Pace Medical Clinic PLLC

146 mi

Family Medicine

3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174

Reassigned Medicare billing, Tennessee enrollment
985 clinicians in this Medicare group

NPI 1134452865 (931) 487-1006

Palm Harbor Family Practice And Walk In Clinic PA

546 mi

General Practice

9 PINE CONE DR, SUITE 102
Palm Coast, FL 32137

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Palm Harbor Family Practice And Walk-In Clinic, P.A
22 clinicians in this Medicare group

NPI 1831311810 (386) 445-6191

Shoshone-Paiute Tribes

1,580 mi

Clinic/Center

1623 HOSPITAL LOOP
Owyhee, NV 89832

Reassigned Medicare billing, Texas enrollment
36 clinicians in this Medicare group

NPI 1528230224 (775) 757-2415

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.

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.

69 services67 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.

24 services22 patients

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.

15 services15 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

LAUREN ELIZABETH ABEL CRNA

Nurse Anesthetist, Certified Registered

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (662) 377-4394

WESLEY B BRUCE

Nurse Practitioner (Family)

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (662) 377-3000

DR. ROBERT CARSON KIRKSEY M.D.

Emergency Medicine

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (866) 754-3852

NORTH MISSISSIPPI MEDICAL CENTER SERVICES LLC

Internal Medicine

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (662) 377-4685

NORTH MISSISSIPPI MEDICAL CENTER INC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

830 S GLOSTER ST, 4TH FLOOR EAST TOWER
TUPELO, MS 38801

Lee County (662) 377-7170

JENNIFER L TAYLOR FNP-BC

Nurse Practitioner (Family)

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (205) 412-0585

KALISA MICKELL FNP

Nurse Practitioner (Family)

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (662) 377-3000

JESSICA KATHRYN PIPPIN

Nurse Practitioner

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (888) 731-7611

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 Adrian Rolle's NPI number?

The NPI number for Adrian Rolle is 1780225227. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is Adrian Rolle located?

Adrian Rolle practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-3270.

What is Adrian Rolle's specialty?

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

Is Adrian Rolle enrolled in Medicare?

Yes. Adrian Rolle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adrian Rolle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adrian Rolle reassigns Medicare benefits to 3 organizations: Fast Pace Medical Clinic PLLC (Spring Hill, TN), Palm Harbor Family Practice And Walk In Clinic PA (Palm Coast, FL) and Shoshone-Paiute Tribes (Owyhee, NV). 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 Adrian Rolle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adrian Rolle accept?

Health plans from Cigna Healthcare list Adrian Rolle 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 Adrian Rolle was last updated on October 7, 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.