LISA JO ROBERTS CNM
NPI 1164413712
Advanced Practice Midwife in Staunton, VA

Active since November 02, 2005Opted out of Medicare · through Jun 6, 2027
18 HAGGERTY LANE, SUITE 103, STAUNTON, VA 24401(540) 414-8585(540) 414-8597 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Jo Roberts Cnm NPPES

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

LISA JO ROBERTS CNM (NPI 1164413712) is an individual advanced practice midwife in Staunton, Virginia, licensed in Virginia (0024158784) and active in the NPI registry since November 2005. She has opted out of Medicare through June 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164413712
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameLISA JO ROBERTSCredential: CNM
Location Address18 HAGGERTY LANE, SUITE 103Staunton, VA 24401
Mailing Address18 Haggerty Lane, Suite 103Staunton, VA 24401 · (540) 414-8585 · Fax (540) 414-8597
Fax(540) 414-8597
Sole ProprietorYes
Enumeration DateNovember 2, 2005
Last NPPES UpdateOctober 8, 2014
NPI 1164413712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in VA · 0024158784
Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

18 HAGGERTY LANE, Staunton, VA 24401

Other Identifiers 3

Medicaid010089832VA
Medicare UPINS72388
Medicare ID-Type Unspecified7791356VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Lisa Jo Roberts Cnm has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 6, 2013 through June 6, 2027.

Opt-Out Effective DateJune 6, 2013
Opt-Out In Effect ThroughJune 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24401 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lisa Roberts's NPI number?

The NPI number for Lisa Roberts is 1164413712. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Lisa Roberts located?

Lisa Roberts practices at 18 Haggerty Lane Suite 103, Staunton, VA 24401. The listed phone number is (540) 414-8585.

What is Lisa Roberts's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Lisa Roberts enrolled in Medicare?

No. Lisa Roberts has opted out of Medicare through June 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lisa Roberts was last updated on October 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.