JADE ALEXANDRA ROBERTS
NPI 1134719743
Nurse Practitioner - Family in Pearl, MS

Active since January 19, 2021PECOS EnrolledAccepts Medicare Assignment
2507A OLD BRANDON RD, PEARL, MS 39208(601) 345-2124 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 3, 2023, Mar 13, 2023, Mar 11, 2021 and 1 more (4 updates tracked since 2021).

About Jade Alexandra Roberts NPPES

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

JADE ALEXANDRA ROBERTS (NPI 1134719743) is an individual family provider in Pearl, Mississippi, licensed in Mississippi (903844) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Merit Health River Region, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1134719743
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJADE ALEXANDRA ROBERTS
Location Address2507A OLD BRANDON RDPearl, MS 39208-4604
Mailing Address603 Mcdonald Dr Apt EClinton, MS 39056-5388 · (601) 517-1531
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 19, 2021
Last NPPES UpdateApril 3, 20234 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
NPI 1134719743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 903844
2507A OLD BRANDON RD, Pearl, MS 39208

Accepted Insurance

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

Jade Alexandra Roberts 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 ID3375990542
PECOS Enrollment IDI20231109000331
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
549 services83 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
231 services45 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
142 services22 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
90 services21 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
82 services34 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
40 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Merit Health River Region

Acute Care Hospitals · Vicksburg, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250031
Location2100 Hwy 61 NVicksburg, MS 39183 · Warren County
Emergency services Birthing friendly

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39208 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 7

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

Pediatrics
2507A OLD BRANDON RD
PEARL, MS 39208
Nurse Practitioner (Pediatrics)
2507A OLD BRANDON RD
PEARL, MS 39208
Nurse Practitioner (Family)
2507A OLD BRANDON RD
PEARL, MS 39208
Pediatrics
2507A OLD BRANDON RD
PEARL, MS 39208
Pediatrics
2507A OLD BRANDON RD
PEARL, MS 39208
Nurse Practitioner (Family)
2507A OLD BRANDON RD
PEARL, MS 39208
Nurse Practitioner (Family)
2507A OLD BRANDON RD
PEARL, MS 39208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134719743, enumerated as an "individual" on January 19, 2021.

The provider is located at 2507A OLD BRANDON RD PEARL, MS 39208 and the phone number is (601) 345-2124.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.

Jade Roberts is affiliated with: MERIT HEALTH RIVER REGION and MISSISSIPPI BAPTIST MEDICAL CENTER.