EDITH L ROBERTS APRN
NPI 1194045104
Nurse Practitioner in Corbin, KY

Active since June 02, 2010PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1419 CUMBERLAND FALLS HWY, CORBIN, KY 40701(606) 526-9005(606) 528-6531 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2023, Dec 15, 2021 (2 updates tracked since 2021).

About Edith L Roberts Aprn NPPES

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

EDITH L ROBERTS APRN (NPI 1194045104) is an individual nurse practitioner in Corbin, Kentucky, licensed in Kentucky (3006448) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Manchester Memorial Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1194045104
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEDITH L ROBERTSCredential: APRN
Location Address1419 CUMBERLAND FALLS HWYCorbin, KY 40701-2722
Mailing Address1419 Cumberland Falls HwyCorbin, KY 40701-2722 · (606) 526-9005
Fax(606) 528-6531
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 2, 2010
Last NPPES UpdateFebruary 13, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
NPI 1194045104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 3006448
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 6448P (KY)
1419 CUMBERLAND FALLS HWY, Corbin, KY 40701

Other Names 1

Former Name (1)Edith L Hensley Aprn

Other Identifiers 1

Medicaid7100119120KY

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

Edith L Roberts Aprn 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 ID4880886712
PECOS Enrollment IDI20101008001246
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

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

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Manchester Memorial Hospital

Acute Care Hospitals · Manchester, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number180043
Location210 Marie Langdon DriveManchester, KY 40962 · Clay County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers17 claims35 services$5.40 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$67.64 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers11 claims1,485 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$26.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Internal Medicine
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Nurse Practitioner
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Internal Medicine
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Physician Assistant
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Internal Medicine
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Internal Medicine
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Nurse Practitioner (Family)
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Physician Assistant
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701

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 Edith Roberts's NPI number?

The NPI number for Edith Roberts is 1194045104. It was assigned to this individual provider in the NPPES registry on June 2, 2010. The provider is also known as Edith L Hensley Aprn.

Where is Edith Roberts located?

Edith Roberts practices at 1419 Cumberland Falls Hwy, Corbin, KY 40701. The listed phone number is (606) 526-9005.

What is Edith Roberts's specialty?

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

Is Edith Roberts enrolled in Medicare?

Yes. Edith Roberts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edith Roberts accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Edith 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.

Is Edith Roberts affiliated with any hospitals?

According to CMS data, Edith Roberts is affiliated with Manchester Memorial Hospital and Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Edith Roberts was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.