KELLIE ROBERTS
NPI 1194519439
Nurse Practitioner - Family in Hattiesburg, MS

Active since April 09, 2025PECOS EnrolledAccepts Medicare Assignment
415 S 28TH AVE, HATTIESBURG, MS 39401(601) 268-5700 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kellie Roberts NPPES

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

KELLIE ROBERTS (NPI 1194519439) is an individual family provider in Hattiesburg, Mississippi, licensed in Mississippi (907202) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194519439
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLIE ROBERTS
Location Address415 S 28TH AVEHattiesburg, MS 39401-7246
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 268-5700
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 9, 2025
NPPES CertifiedApril 7, 2025
NPI 1194519439 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 · 907202
415 S 28TH AVE, Hattiesburg, MS 39401

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

Kellie 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 ID6901324011
PECOS Enrollment IDI20250513001042
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39401 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 20

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

Neurological Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Nurse Anesthetist, Certified Registered
415 S 28TH AVE
HATTIESBURG, MS 39401
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401
Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Psychiatry & Neurology (Neurology)
415 S 28TH AVE
HATTIESBURG, MS 39401
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401

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 Kellie Roberts's NPI number?

The NPI number for Kellie Roberts is 1194519439. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Kellie Roberts located?

Kellie Roberts practices at 415 S 28th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 268-5700.

What is Kellie Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kellie Roberts enrolled in Medicare?

Yes. Kellie 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 Kellie Roberts accept?

Health plans from UnitedHealthcare list Kellie 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.

When was this NPI record last updated?

The NPPES record for Kellie Roberts was last updated on April 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.