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MS. DEEDRA ELIZABETH ROBERTS FNP
NPI 1033677190
Nurse Practitioner - Family in La Jolla, CA

Active since March 07, 2019PECOS Enrolled
5655 CAMINITO DANZARIN, LA JOLLA, CA 92037(512) 466-2087 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Deedra Elizabeth Roberts Fnp NPPES

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

MS. DEEDRA ELIZABETH ROBERTS FNP (NPI 1033677190) is an individual family provider in La Jolla, California, licensed in California (95011012) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033677190
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DEEDRA ELIZABETH ROBERTSCredential: FNP
Location Address5655 CAMINITO DANZARINLa Jolla, CA 92037-7161
Mailing Address5353 Mission Center Rd Ste 300San Diego, CA 92108-1305
Phone(512) 466-2087
Sole ProprietorNo
Enumeration DateMarch 7, 2019
✔ NPI 1033677190 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 CA · 95011012
5655 CAMINITO DANZARIN, La Jolla, CA 92037
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Other Names 1

Professional Name (2)Ms. Elizabeth Roberts Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Deedra Elizabeth Roberts Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Deedra Roberts's NPI number?

The NPI number for Deedra Roberts is 1033677190. It was assigned to this individual provider in the NPPES registry on March 7, 2019. The provider is also known as Ms. Elizabeth Roberts Np.

Where is Deedra Roberts located?

Deedra Roberts practices at 5655 Caminito Danzarin, La Jolla, CA 92037. The listed phone number is (512) 466-2087.

What is Deedra Roberts's specialty?

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

Is Deedra Roberts enrolled in Medicare?

Yes. Deedra Roberts is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deedra Roberts was last updated on March 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.