KELLY ROBERTO FNP-C
NPI 1124629464
Nurse Practitioner - Family in Maplewood, MN

Active since November 03, 2020
2196 WHITE BEAR AVE N, MAPLEWOOD, MN 55109(651) 704-0322 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2021, Mar 23, 2021, Nov 7, 2020 (3 updates tracked since 2020).

About Kelly Roberto Fnp-c NPPES

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

KELLY ROBERTO FNP-C (NPI 1124629464) is an individual family provider in Maplewood, Minnesota, licensed in Minnesota (7676) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1124629464
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY ROBERTOCredential: FNP-C
Location Address2196 WHITE BEAR AVE NMaplewood, MN 55109-2708
Mailing Address2196 White Bear Ave NSaint Paul, MN 55109-2708 · (651) 704-0322
Sole ProprietorNo
Enumeration DateNovember 3, 2020
Last NPPES UpdateMay 18, 20213 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
NPI 1124629464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 7676
Also ListedNurse PractitionerTaxonomy 363L00000X · License 7676 (MN)
2196 WHITE BEAR AVE N, Maplewood, MN 55109

Other Identifiers 1

Other7676MN · Cnp

Accepted Insurance

Other Providers at the Same Location NPPES 10

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

Pharmacy
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Physician Assistant
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Pharmacist
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109

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 Kelly Roberto's NPI number?

The NPI number for Kelly Roberto is 1124629464. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Where is Kelly Roberto located?

Kelly Roberto practices at 2196 White Bear Ave N, Maplewood, MN 55109. The listed phone number is (651) 704-0322.

What is Kelly Roberto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Kelly Roberto accept?

Health plans from Medica list Kelly Roberto 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 Kelly Roberto was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.