MS. KENDALL ROBERTS AGPCNP-BC
NPI 1215682448
Nurse Practitioner - Primary Care in Dearborn, MI
About Ms. Kendall Roberts Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KENDALL ROBERTS AGPCNP-BC (NPI 1215682448) is an individual primary care provider in Dearborn, Michigan, licensed in Michigan (4704343522NSA2204R) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Kendall Roberts Agpcnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Kendall Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Dearborn
Acute Care Hospitals · Dearborn, MIBeaumont Hospital - Taylor
Acute Care Hospitals · Taylor, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kendall Roberts's NPI number?
The NPI number for Kendall Roberts is 1215682448. It was assigned to this individual provider in the NPPES registry on February 16, 2022.
Where is Kendall Roberts located?
Kendall Roberts practices at 904 Mason St, Dearborn, MI 48124. The listed phone number is (313) 586-7525.
What is Kendall Roberts's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kendall Roberts enrolled in Medicare?
Yes. Kendall 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.
Which organization bills Medicare for Kendall Roberts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kendall Roberts reassigns Medicare benefits to Ma Sobh Do Plc (Dearborn, MI). 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 Kendall Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kendall Roberts accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Kendall 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 Kendall Roberts affiliated with any hospitals?
According to CMS data, Kendall Roberts is affiliated with Beaumont Hospital - Dearborn and Beaumont Hospital - Taylor.
When was this NPI record last updated?
The NPPES record for Kendall Roberts was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Ms. Kendall Roberts, AGPCNP-BC · NPI 1215682448
Primary Care physician in Dearborn, Michigan. Individual provider, active in the CMS NPPES registry since February 16, 2022.
## Identity
- **NPI:** 1215682448 (Entity type: Individual)
- **Enumerated:** February 16, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4704343522NSA2204R (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 904 MASON ST, Dearborn, MI 48124-2215
- **Phone:** (313) 586-7525
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ma Sobh Do Plc (NPI 1568889376, Dearborn, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 20, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1215682448) · Data from the CMS NPPES public registry.