Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. KRISTIE ANN ROBERTS DDS
NPI 1053372656
Dentist - General Practice in Pine City, MN

Active since March 31, 2006PECOS Enrolled
1105 HILLSIDE AVE SW, PINE CITY, MN 55063(320) 629-2789(320) 629-1330 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kristie Ann Roberts Dds NPPES

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

MS. KRISTIE ANN ROBERTS DDS (NPI 1053372656) is an individual general practice provider in Pine City, Minnesota, licensed in Minnesota (D10870) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053372656
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMS. KRISTIE ANN ROBERTSCredential: DDS
Location Address1105 HILLSIDE AVE SWPine City, MN 55063
Mailing Address1105 Hillside Ave SwPine City, MN 55063 · (320) 629-2789 · Fax (320) 629-1330
Fax(320) 629-1330
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1053372656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D10870
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1105 HILLSIDE AVE SW, Pine City, MN 55063

Other Names 1

Former Name (1)Ms. Kristie Ann Bedell Dds

Other Identifiers 1

OtherHP28208MN · Health Partners

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. Kristie Ann Roberts Dds 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 55063 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 2

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

Dentist (General Practice)
1105 HILLSIDE AVE SW
PINE CITY, MN 55063
Clinic/Center
1105 HILLSIDE AVE SW
PINE CITY, MN 55063

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 Kristie Roberts's NPI number?

The NPI number for Kristie Roberts is 1053372656. It was assigned to this individual provider in the NPPES registry on March 31, 2006. The provider is also known as Ms. Kristie Ann Bedell Dds.

Where is Kristie Roberts located?

Kristie Roberts practices at 1105 Hillside Ave SW, Pine City, MN 55063. The listed phone number is (320) 629-2789.

What is Kristie Roberts's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kristie Roberts enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristie Roberts was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.