GARY ROBERTSON
NPI 1093670531
Nurse Practitioner - Psychiatric/Mental Health in Connersville, IN

Q: What is Gary Robertson's NPI number?

The NPI number for Gary Robertson is 1093670531. It was assigned to this individual provider in the NPPES registry on December 17, 2025.

Q: What is Gary Robertson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Gary Robertson was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 December 17, 2025PECOS Enrolled

707 W 3RD ST, CONNERSVILLE, IN 47331(765) 827-1164 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, Apr 29, 2026, Dec 17, 2025 (3 updates tracked since 2025).

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About Gary Robertson NPPES

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

GARY ROBERTSON (NPI 1093670531) is an individual psychiatric/mental health provider in Connersville, Indiana, licensed in Indiana (71017907A) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1093670531

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameGARY ROBERTSON

Location Address707 W 3RD STConnersville, IN 47331-1577

Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (765) 288-1928

Phone(765) 827-1164

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 17, 2025

Last NPPES UpdateJune 3, 20263 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1093670531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71017907A

707 W 3RD ST, Connersville, IN 47331

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Robertson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305316639

PECOS Enrollment IDI20260528002001

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 47331 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Other Providers at the Same Location NPPES 9

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

COURTNEY E BRADLEY

Nurse Practitioner (Family)