1. Home
  2. Directory
  3. Missouri
  4. Poplar Bluff
  5. Physician Assistant
  6. NPI Profile

CHESTER CARTER ROBERTS JR. PA-C
NPI 1154365690
Physician Assistant - Surgical in Poplar Bluff, MO

Active since June 15, 2006PECOS Enrolled
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 778-4393(573) 778-4304 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chester Carter Roberts Jr. Pa-c NPPES

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

CHESTER CARTER ROBERTS JR. PA-C (NPI 1154365690) is an individual surgical provider in Poplar Bluff, Missouri, licensed in Missouri (2011037573) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154365690
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCHESTER CARTER ROBERTS JR.Credential: PA-C
Location Address1500 N WESTWOOD BLVDPoplar Bluff, MO 63901-3318
Mailing Address1500 N Westwood BlvdPoplar Bluff, MO 63901-3318 · (573) 778-4393 · Fax (573) 778-4304
Phone(573) 778-4393
Fax(573) 778-4304
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateJanuary 12, 2012
✔ NPI 1154365690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MO · 2011037573
1500 N WESTWOOD BLVD, Poplar Bluff, MO 63901
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chester Carter Roberts Jr. Pa-c 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.

Other Providers at the Same Location NPPES 20

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

DR. KAYLA S MELTON O.D.
Optometrist
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 778-4303
DR. MERCY RATHINI SABAPATHYPILLAI M.D.
Psychiatry & Neurology (Psychiatry)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 472-2139
AMANDA RENAE FLORY D.O.
Psychiatry & Neurology (Psychiatry)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151
MAGEN BARNES
Registered Nurse
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151
MS. JOLENE M WOLF FNP
Nurse Practitioner
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151
MR. OSCAR BRIAN SMITH I RRT
Respiratory Therapist, Registered
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151
ROCHELLE POYNOR RRT
Respiratory Therapist, Registered
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151
PAMELA G HARNESS LCSW
Social Worker (Clinical)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151

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 Chester Roberts's NPI number?

The NPI number for Chester Roberts is 1154365690. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Chester Roberts located?

Chester Roberts practices at 1500 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 778-4393.

What is Chester Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Chester Roberts enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Chester Roberts was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.