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DONNA MARIE ROBERTS
NPI 1194216911
Nurse Practitioner - Primary Care in Wray, CO

Active since May 29, 2018PECOS Enrolled

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Donna Marie Roberts NPPES

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

DONNA MARIE ROBERTS (NPI 1194216911) is an individual primary care provider in Wray, Colorado, licensed in Colorado (APN.0993811-NP) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194216911
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDONNA MARIE ROBERTS
Location Address1017 W 7TH STWray, CO 80758-1420
Mailing Address33883 County Road PpWray, CO 80758-9034 · (970) 630-1679
Phone(970) 332-4895
Sole ProprietorYes
Enumeration DateMay 29, 2018
✔ NPI 1194216911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CO · APN.0993811-NP
1017 W 7TH ST, Wray, CO 80758
Open in Google Maps ↗

Other Names 1

Former Name (1)Donna Marie White Np-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donna Marie Roberts 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.

Medicare Billing Reassignment

Medicare enrollment records show Donna Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wray Community District Hospital
Same address
Critical Access
1017 W 7TH ST
Wray, CO 80758
  • Reassigned Medicare billing, Colorado enrollment
  • 57 clinicians in this Medicare group
NPI 1083640239 (970) 332-4811

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80758 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 20

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

BONETTA SCHULTE FNP-C
Nurse Practitioner (Family)
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-4811
DAVID G. REED M.D.
Family Medicine
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-4895
ROSALIE GIBB
Student in an Organized Health Care Education/Training Program
1017 W 7TH ST
WRAY, CO 80758
Yuma County (915) 408-4949
WRAY COMMUNITY DISTRICT HOSPITAL
General Acute Care Hospital (Critical Access)
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-4811
LORI LYNNE SMITH R.D.
Dietitian, Registered
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-4895
ADAM JOHN BEYER SA-C
Specialist/Technologist, Other (Surgical Assistant)
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-4811
BRIANA F LORENZINI OTR/L
Occupational Therapist
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-4895
WRAY COMMUNITY DISTRICT HOSPITAL
Clinic/Center (Rural Health)
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-4811

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 Donna Roberts's NPI number?

The NPI number for Donna Roberts is 1194216911. It was assigned to this individual provider in the NPPES registry on May 29, 2018. The provider is also known as Donna Marie White Np-C.

Where is Donna Roberts located?

Donna Roberts practices at 1017 W 7th St, Wray, CO 80758. The listed phone number is (970) 332-4895.

What is Donna Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Donna Roberts enrolled in Medicare?

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

Which organization bills Medicare for Donna Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Roberts reassigns Medicare benefits to Wray Community District Hospital (Wray, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donna Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donna Roberts was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.