JASON S ROBERTS CRNA
NPI 1083842819
Nurse Anesthetist, Certified Registered in Charlotte, NC

Active since July 01, 2009
200 HAWTHORNE LN, CHARLOTTE, NC 28204(704) 384-4274(704) 384-5636 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jason S Roberts Crna NPPES

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

JASON S ROBERTS CRNA (NPI 1083842819) is an individual nurse anesthetist, certified registered in Charlotte, North Carolina, licensed in North Carolina (082169) and active in the NPI registry since July 2009. He is affiliated with Novant Health Matthews Medical Center and is a graduate of Other (2009).

NPPES Registry Identity

NPI1083842819
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJASON S ROBERTSCredential: CRNA
Location Address200 HAWTHORNE LNCharlotte, NC 28204-2515
Mailing AddressPo Box 601529Charlotte, NC 28260-1529 · (704) 384-4000 · Fax (336) 768-9019
Fax(704) 384-5636
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 1, 2009
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1083842819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NC · 082169
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
200 HAWTHORNE LN, Charlotte, NC 28204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason S Roberts Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012060973
PECOS Enrollment IDI20090725000074

Medicare Billing Reassignments

15

Medicare enrollment records show Jason Roberts reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
200 HAWTHORNE LANE
Charlotte, NC 28233
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1487626933 (North Carolina)
  • 926 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
6035 FAIRVIEW RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 113 clinicians in this Medicare group
Anesthesiology
3735 GLENLAKE DR STE 250
Charlotte, NC 28208
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Providence Anesthesiology Associates PA
  • 483 clinicians in this Medicare group
Specialist
1500 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • 649 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8201 HEALTHCARE LOOP
Charlotte, NC 28215
  • Reassigned Medicare billing, North Carolina enrollment
  • 703 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
14215 BALLANTYNE CORPORATE PL STE 210
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 543 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
10905 PROVIDENCE RD W
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 422 clinicians in this Medicare group
Ambulatory Surgical
10030 GILEAD ROAD
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
  • 545 clinicians in this Medicare group
Neurology
612 MOCKSVILLE AVE.
Salisbury, NC 28144
  • Reassigned Medicare billing, North Carolina enrollment
  • 686 clinicians in this Medicare group
Hematology & Oncology
276 OLD MOCKSVILLE RD STE 800
Statesville, NC 28625
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
18 services17 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

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.

Nurse Anesthetist, Certified Registered
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Nurse Practitioner (Neonatal)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Psychiatry & Neurology (Neurology)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Nurse Practitioner (Critical Care Medicine)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Pharmacist (Pharmacotherapy)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Physician Assistant
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Pediatrics
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Nurse Anesthetist, Certified Registered
200 HAWTHORNE LN
CHARLOTTE, NC 28204

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 Jason Roberts's NPI number?

The NPI number for Jason Roberts is 1083842819. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Jason Roberts located?

Jason Roberts practices at 200 Hawthorne Ln, Charlotte, NC 28204. The listed phone number is (704) 384-4274.

What is Jason Roberts's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jason Roberts enrolled in Medicare?

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

Which organizations bill Medicare for Jason Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Roberts reassigns Medicare benefits to 15 organizations: The Presbyterian Hospital (Charlotte, NC), Nmg Southpark Services, LLC (Charlotte, NC), Providence Anesthesiology Associates, P.A. (Charlotte, NC), Novant Health Matthews Medical Center LLC (Matthews, NC), Novant Health Mint Hill Medical Center, LLC (Charlotte, NC) and 10 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jason Roberts affiliated with any hospitals?

According to CMS data, Jason Roberts is affiliated with Novant Health Matthews Medical Center.

When was this NPI record last updated?

The NPPES record for Jason Roberts was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.