DR. KATHLEEN ANNE ROBERTS DNP
NPI 1053307090
Nurse Practitioner - Family in Beaverton, OR

Q: What is Kathleen Roberts's NPI number?

The NPI number for Kathleen Roberts is 1053307090. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Kathleen Roberts's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Roberts was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 26, 2005PECOS Enrolled

2725 SW CEDAR HILLS BLVD STE 200, BEAVERTON, OR 97005(503) 352-6000(503) 352-6081 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2023, Aug 11, 2016 (2 updates tracked since 2016).

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About Dr. Kathleen Anne Roberts Dnp NPPES

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

DR. KATHLEEN ANNE ROBERTS DNP (NPI 1053307090) is an individual family provider in Beaverton, Oregon, licensed in Oregon (201708253) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053307090

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. KATHLEEN ANNE ROBERTSCredential: DNP

Location Address2725 SW CEDAR HILLS BLVD STE 200Beaverton, OR 97005-1435

Mailing Address6025 Stage Rd Ste 42-415Bartlett, TN 38134-8374 · (901) 498-0054 · Fax (888) 419-2656

Phone(503) 352-6000

Fax(503) 352-6081

Sole ProprietorNo

Enumeration DateSeptember 26, 2005

Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2023

✔ NPI 1053307090 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

Licenses✔ Licensed in OR · 201708253✔ Licensed in CA · 95193472✔ Licensed in TN · 5173✔ Licensed in ME · CNP211353✔ Licensed in WA · AP60728469

2725 SW CEDAR HILLS BLVD STE 200, Beaverton, OR 97005

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Other Identifiers 1

Medicaid3903423TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathleen Anne Roberts Dnp 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 97005 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers12 claims28 services$5.60 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers19 claims19 services$21.26 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers55 claims56 services$108.43 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers13 claims2,430 services$0.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AUSTIN ALEXANDER PA-C

Physician Assistant