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LISSA NICOLE ROUX FNP
NPI 1902151095
Nurse Practitioner - Family in Memphis, TN

Active since July 16, 2012PECOS EnrolledAccepts Medicare Assignment
2400 POPLAR AVE, SUITE 501, MEMPHIS, TN 38112(901) 701-2580(901) 260-8449 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lissa Nicole Roux Fnp NPPES

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

LISSA NICOLE ROUX FNP (NPI 1902151095) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (16791) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1902151095
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISSA NICOLE ROUXCredential: FNP
Location Address2400 POPLAR AVE, SUITE 501Memphis, TN 38112-3213
Mailing Address2595 Central AveMemphis, TN 38104-5905 · (901) 260-8500 · Fax (901) 260-8598
Phone(901) 701-2580
Fax(901) 260-8449
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 16, 2012
Last NPPES UpdateMarch 30, 2015
✔ NPI 1902151095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 16791
Also ListedRegistered NurseTaxonomy 163W00000X · License R881642 (MS)
2400 POPLAR AVE, Memphis, TN 38112
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Other Identifiers 2

Medicare PIN10350I5387TN
Medicaid1529003TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc., Oscar Insurance Company.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

Lissa Nicole Roux 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 ID8729235262
PECOS Enrollment IDI20120905000776
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38112 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.

Other Providers at the Same Location NPPES 13

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

MERIDIAN HUMAN SERVICES, INC
Social Worker (Clinical)
2400 POPLAR AVE, STE 211
MEMPHIS, TN 38112
Shelby County (901) 323-8803
MS. RITA V ELLIS LCSW
Counselor (Mental Health)
2400 POPLAR AVE, SUITE 318
MEMPHIS, TN 38112
Shelby County (901) 287-4700
KIMBERLY MICHELLE HIGGS CMSW
Social Worker (Clinical)
2400 POPLAR AVE, SUITE 318
MEMPHIS, TN 38112
Shelby County (901) 287-4700
VIRGINIA F. HOOD LMSW, ACSW
Social Worker
2400 POPLAR AVE, SUITE 318
MEMPHIS, TN 38112
Shelby County (901) 287-4700
METHODIST-LEBONHEUR HEALTHCARE
General Acute Care Hospital (Children)
2400 POPLAR AVE, SUITE 318
MEMPHIS, TN 38112
Shelby County (901) 287-4700
MITCHELL SCOTT MCALISTER MD
Obstetrics & Gynecology
2400 POPLAR AVE, SUITE 501
MEMPHIS, TN 38112
Shelby County (901) 271-0896
DR. KATHERINE CHERRY LIU MD
Obstetrics & Gynecology
2400 POPLAR AVE, SUITE 501
MEMPHIS, TN 38112
Shelby County (901) 260-8500
JAMES ROBERT WARD L.P.C.
Counselor (Professional)
2400 POPLAR AVE
MEMPHIS, TN 38112
Shelby County (901) 206-2222

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 Lissa Roux's NPI number?

The NPI number for Lissa Roux is 1902151095. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Where is Lissa Roux located?

Lissa Roux practices at 2400 Poplar Ave Suite 501, Memphis, TN 38112. The listed phone number is (901) 701-2580.

What is Lissa Roux's specialty?

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

Is Lissa Roux enrolled in Medicare?

Yes. Lissa Roux 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 Lissa Roux accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc. and Oscar Insurance Company list Lissa Roux 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 Lissa Roux was last updated on March 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.