MRS. TRACY NELSON ROLLER CCC-SLP
NPI 1871984195
Speech-Language Pathologist in Roxboro, NC
About Mrs. Tracy Nelson Roller Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TRACY NELSON ROLLER CCC-SLP (NPI 1871984195) is an individual speech-language pathologist provider in Roxboro, North Carolina, licensed in North Carolina (10675) and active in the NPI registry since February 2015. She is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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
Mrs. Tracy Nelson Roller Ccc-slp 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 Reassignment
Medicare enrollment records show Tracy Roller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Williamsburg, VA 23188
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 36 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.
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.
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 Tracy Roller's NPI number?
The NPI number for Tracy Roller is 1871984195. It was assigned to this individual provider in the NPPES registry on February 9, 2015. The provider is also known as Mrs. Tracy Cole Nelson Ccc-Slp.
Where is Tracy Roller located?
Tracy Roller practices at 615 Ridge Rd, Roxboro, NC 27573. The listed phone number is (336) 599-2121.
What is Tracy Roller's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Tracy Roller enrolled in Medicare?
Yes. Tracy Roller 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 organization bills Medicare for Tracy Roller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Roller reassigns Medicare benefits to Empowerme Rehabilitation, LLC (Williamsburg, VA). The 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 Tracy Roller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tracy Roller was last updated on February 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Tracy Nelson Roller, CCC-SLP · NPI 1871984195
Speech-Language Pathologist provider in Roxboro, North Carolina. Individual provider, active in the CMS NPPES registry since February 9, 2015.
## Identity
- **NPI:** 1871984195 (Entity type: Individual)
- **Enumerated:** February 9, 2015
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 10675 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 615 RIDGE RD, Roxboro, NC 27573-4629
- **Phone:** (336) 599-2121 · **Fax:** (336) 503-5625
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Empowerme Rehabilitation, LLC (NPI 1881366730, Williamsburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 9, 2015
- **Other identifiers:** Other 14050523; Other 10675 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1871984195) · Data from the CMS NPPES public registry.