Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RODRIKE QUENTRELL ROBERTS DNP, FNP-BC
NPI 1225741762
Nurse Practitioner - Family in Winston Salem, NC

Active since December 29, 2022PECOS Enrolled
4937 OLD COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 718-4510 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 20, 2026, Jul 10, 2023, Dec 29, 2022 (3 updates tracked since 2022).

About Dr. Rodrike Quentrell Roberts Dnp, Fnp-bc NPPES

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

DR. RODRIKE QUENTRELL ROBERTS DNP, FNP-BC (NPI 1225741762) is an individual family provider in Winston Salem, North Carolina, licensed in North Carolina (5017523) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225741762
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. RODRIKE QUENTRELL ROBERTSCredential: DNP, FNP-BC
Location Address4937 OLD COUNTRY CLUB RDWinston Salem, NC 27104-5071
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 718-4510 · Fax (336) 718-4519
Sole ProprietorNo
Enumeration DateDecember 29, 2022
Last NPPES UpdateAugust 20, 20263 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
NPI 1225741762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5017523
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License 5017523 (NC)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 5017523 (NC)
4937 OLD COUNTRY CLUB RD, Winston Salem, NC 27104

Secondary Practice Locations 2

Location 1317 W Main StSanford, NC 27332-5943 · Phone (910) 723-0532 · Fax (919) 800-3920
Location 28025 N Point Blvd Ste 219Winston Salem, NC 27106-3262 · Phone (336) 355-5037 ext. 101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Rodrike Quentrell Roberts Dnp, Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27104 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 10

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

Nurse Practitioner
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Internal Medicine
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Nurse Practitioner
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Nurse Practitioner
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Internal Medicine
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Internal Medicine
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Physician Assistant
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Student in an Organized Health Care Education/Training Program
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104

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 Rodrike Roberts's NPI number?

The NPI number for Rodrike Roberts is 1225741762. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Where is Rodrike Roberts located?

Rodrike Roberts practices at 4937 Old Country Club Rd, Winston Salem, NC 27104. The listed phone number is (336) 718-4510.

What is Rodrike Roberts's specialty?

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

Is Rodrike Roberts enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Rodrike Roberts was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.