RAE LYNNE ROBERTSON PMHNP-BC
NPI 1225705056
Nurse Practitioner - Psychiatric/Mental Health in Amarillo, TX

Active since August 28, 2021PECOS EnrolledAccepts Medicare Assignment
1501 S POLK ST, AMARILLO, TX 79101(806) 337-1000 Get Directions Write a Review

NPPES record last updated: August 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rae Lynne Robertson Pmhnp-bc NPPES

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

RAE LYNNE ROBERTSON PMHNP-BC (NPI 1225705056) is an individual psychiatric/mental health provider in Amarillo, Texas, licensed in Texas (1052582) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225705056
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameRAE LYNNE ROBERTSONCredential: PMHNP-BC
Location Address1501 S POLK STAmarillo, TX 79101-4228
Mailing Address5330 Cliffside CirAmarillo, TX 79124-7917 · (806) 683-8054
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 28, 2021
NPPES CertifiedAugust 28, 2021
✔ NPI 1225705056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1052582
1501 S POLK ST, Amarillo, TX 79101

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Rae Lynne Robertson Pmhnp-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.

PECOS PAC ID345638151
PECOS Enrollment IDI20211028000505
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 Reassignments

2

Medicare enrollment records show Rae Robertson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1901 MEDI PARK DR STE 2058
Amarillo, TX 79106
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
Psychiatry
22 PRESTIGE CIRCLE, SUITE 300
Allen, TX 75002
  • Reassigned Medicare billing, Texas enrollment
  • 66 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79101 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 4

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

Social Worker (Clinical)
1501 S POLK ST
AMARILLO, TX 79101
Counselor (Mental Health)
1501 S POLK ST
AMARILLO, TX 79101
Counselor (Professional)
1501 S POLK ST
AMARILLO, TX 79101
Social Worker (Clinical)
1501 S POLK ST
AMARILLO, TX 79101

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 Rae Robertson's NPI number?

The NPI number for Rae Robertson is 1225705056. It was assigned to this individual provider in the NPPES registry on August 28, 2021.

Where is Rae Robertson located?

Rae Robertson practices at 1501 S Polk St, Amarillo, TX 79101. The listed phone number is (806) 337-1000.

What is Rae Robertson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rae Robertson enrolled in Medicare?

Yes. Rae Robertson 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 organizations bill Medicare for Rae Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rae Robertson reassigns Medicare benefits to 2 organizations: Upswing Psychiatry, PLLC (Amarillo, TX) and Beacon Behavioral Of Texas PA (Allen, TX). Each 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 Rae Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rae Robertson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Rae Robertson 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 Rae Robertson was last updated on August 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.