DIVYA REBECCA ROBERTS CRNP
NPI 1235696741
Nurse Practitioner - Gerontology in Honolulu, HI

Q: What is Divya Roberts's NPI number?

The NPI number for Divya Roberts is 1235696741. It was assigned to this individual provider in the NPPES registry on February 21, 2019.

Q: What is Divya Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Divya Roberts was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 21, 2019PECOS Enrolled

55 MERCHANT ST STE 2900, HONOLULU, HI 96813(808) 536-8012(808) 536-8013 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 25, 2023, Oct 26, 2022, Feb 21, 2019 (3 updates tracked since 2019).

On this page

About Divya Rebecca Roberts Crnp NPPES

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

DIVYA REBECCA ROBERTS CRNP (NPI 1235696741) is an individual gerontology provider in Honolulu, Hawaii, licensed in Hawaii (APRN-3612) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235696741

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameDIVYA REBECCA ROBERTSCredential: CRNP

Location Address55 MERCHANT ST STE 2900Honolulu, HI 96813-4384

Mailing Address2191 Laukahi StHonolulu, HI 96821-2619 · (716) 200-9457

Phone(808) 536-8012

Fax(808) 536-8013

Sole ProprietorNo

Enumeration DateFebruary 21, 2019

Last NPPES UpdateOctober 25, 20233 updates tracked since enumeration

NPPES CertifiedOctober 25, 2023

✔ NPI 1235696741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in HI · APRN-3612

55 MERCHANT ST STE 2900, Honolulu, HI 96813

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Divya Rebecca Roberts Crnp 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 Divya Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bristol Palliative Care Services, LLC

2,990 mi

Hospice and Palliative Medicine

206 N 2100 W STE 202
Salt Lake City, UT 84116

Reassigned Medicare billing, Hawaii enrollment
18 clinicians in this Medicare group

NPI 1467930552 (801) 325-0175

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 96813 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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 8

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

ANELA LABORE NP

Nurse Practitioner (Family)