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JASON WILLIAM ROBERTS NP
NPI 1114571130
Nurse Practitioner in Newton, MS

Active since July 29, 2019PECOS Enrolled
9427 EASTSIDE DRIVE EXT STE A, NEWTON, MS 39345(601) 683-0330 Get Directions Write a Review

NPPES record last updated: September 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2019, Jul 29, 2019 (2 updates tracked since 2019).

About Jason William Roberts Np NPPES

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

JASON WILLIAM ROBERTS NP (NPI 1114571130) is an individual nurse practitioner in Newton, Mississippi, licensed in Mississippi (903294) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114571130
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJASON WILLIAM ROBERTSCredential: NP
Location Address9427 EASTSIDE DRIVE EXT STE ANewton, MS 39345-8063
Mailing Address611 N 39th AveYakima, WA 98902-6348 · (601) 757-5718
Phone(601) 683-0330
Sole ProprietorNo
Enumeration DateJuly 29, 2019
Last NPPES UpdateSeptember 15, 20192 updates tracked since enumeration
✔ NPI 1114571130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 903294
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
9427 EASTSIDE DRIVE EXT STE A, Newton, MS 39345
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason William Roberts Np 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 39345 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 2

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

MADISON WINDHAM FNP-C
Nurse Practitioner (Family)
9427 EASTSIDE DRIVE EXT STE A
NEWTON, MS 39345
Newton County (601) 683-0330
ANGELA M REEVES FNP-BC
Family Medicine
9427 EASTSIDE DRIVE EXT STE A
NEWTON, MS 39345
Newton County (601) 683-0330

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 1114571130. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Jason Roberts located?

Jason Roberts practices at 9427 Eastside Drive Ext Ste A, Newton, MS 39345. The listed phone number is (601) 683-0330.

What is Jason Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jason Roberts enrolled in Medicare?

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

What insurance does Jason Roberts accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jason Roberts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Roberts was last updated on September 15, 2019. 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.