Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Marice Roszak, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1992635510

Kelly Marice Roszak, PMHNP-BC is a Nurse Practitioner in Burns, Tennessee. Qualified in 2025, 1 year ago. Works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2026
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1127 Old E Side RD
Burns, TN 37029-5662
Phone: (216) 235-1084
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5511 Virginia Way Ste 300, Brentwood, TN 37027-7611 — (615) 994-1000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 42264 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 265015 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 42264 (TN)

Record details

NPI number1992635510
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 23, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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