KATLYN ROBERTS RN, MSN, CPNP - NPI 1114550506 - Nurse Practitioner in Ann Arbor, MI

Q: What is Katlyn Roberts's NPI number?

The NPI number for Katlyn Roberts is 1114550506. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Q: What is Katlyn Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Katlyn Roberts was last updated on June 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Katlyn Roberts Rn, Msn, Cpnp NPPES

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

KATLYN ROBERTS RN, MSN, CPNP (NPI 1114550506) is an individual pediatrics provider in Ann Arbor, Michigan, licensed in Michigan (4704321713) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1114550506

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKATLYN ROBERTSCredential: RN, MSN, CPNP

Location Address4200 WHITEHALL DR STE 230Ann Arbor, MI 48105-9694

Mailing Address24 Frank Lloyd Wright Dr # J2000Ann Arbor, MI 48105-9484 · (734) 747-6766

Phone(734) 769-3896

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 13, 2020

Last NPPES UpdateJune 1, 20265 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1114550506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MI · 4704321713

4200 WHITEHALL DR STE 230, Ann Arbor, MI 48105

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Secondary Practice Locations 3

Location 16667 Orchard Lake RdWest Bloomfield, MI 48322-3404 · Phone (248) 206-8950

Location 219000 St Joes Pkwy Ste 160Livonia, MI 48152-1478 · Phone (734) 884-5200

Location 360160 E 8 Mile RdSouth Lyon, MI 48178-9768 · Phone (248) 431-2770

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katlyn Roberts Rn, Msn, Cpnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183151442

PECOS Enrollment IDI20241226002963

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 48105 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 7

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

LAUREN MARGARET LYON NP

Nurse Practitioner (Pediatrics)