KRISTEN CASSIDY ROBERTS FNP-C
NPI 1023627122
Nurse Practitioner - Family in Greenville, MS

Active since July 24, 2020PECOS EnrolledAccepts Medicare Assignment
95.8/100
CMS Quality Rating
1502 S COLORADO ST, GREENVILLE, MS 38703(662) 355-4105 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2025, Jul 24, 2020 (2 updates tracked since 2020).

About Kristen Cassidy Roberts Fnp-c NPPES

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

KRISTEN CASSIDY ROBERTS FNP-C (NPI 1023627122) is an individual family provider in Greenville, Mississippi, licensed in Mississippi (904036) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ruleville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023627122
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN CASSIDY ROBERTSCredential: FNP-C
Location Address1502 S COLORADO STGreenville, MS 38703-7219
Mailing Address607 Holly DrIndianola, MS 38751-2525 · (662) 207-7035
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 24, 2020
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
NPI 1023627122 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 · 904036
1502 S COLORADO ST, Greenville, MS 38703

Other Names 1

Former Name (1)Kristen Cassidy Scott

Secondary Practice Location 1

Location 1840 N Oak AveRuleville, MS 38771-3227 · Phone (662) 756-4024

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

Kristen Cassidy Roberts Fnp-c 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 ID6204252794
PECOS Enrollment IDI20200814000255
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 38703 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.

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.

95.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.85
Improvement Activities40
Cost56.88

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.

Clinic/Center (Multi-Specialty)
1502 S COLORADO ST
GREENVILLE, MS 38703
Internal Medicine
1502 S COLORADO ST
GREENVILLE, MS 38703
Internal Medicine (Nephrology)
1502 S COLORADO ST
GREENVILLE, MS 38703
Nurse Practitioner
1502 S COLORADO ST
GREENVILLE, MS 38703
Nurse Practitioner (Pediatrics)
1502 S COLORADO ST
GREENVILLE, MS 38703
Nurse Practitioner (Acute Care)
1502 S COLORADO ST
GREENVILLE, MS 38703
Clinic/Center (Primary Care)
1502 S COLORADO ST
GREENVILLE, MS 38703
Internal Medicine (Gastroenterology)
1502 S COLORADO ST
GREENVILLE, MS 38703

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 Kristen Roberts's NPI number?

The NPI number for Kristen Roberts is 1023627122. It was assigned to this individual provider in the NPPES registry on July 24, 2020. The provider is also known as Kristen Cassidy Scott.

Where is Kristen Roberts located?

Kristen Roberts practices at 1502 S Colorado St, Greenville, MS 38703. The listed phone number is (662) 355-4105.

What is Kristen Roberts's specialty?

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

Is Kristen Roberts enrolled in Medicare?

Yes. Kristen Roberts 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.

When was this NPI record last updated?

The NPPES record for Kristen Roberts was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.