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DEREK ROBERTS APRN, P.A.
NPI 1245801380
Nurse Practitioner - Psychiatric/Mental Health in Wichita, KS

Active since July 09, 2021
8100 E 22ND ST N STE 1600-B, WICHITA, KS 67226(316) 201-6424 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Derek Roberts Aprn, P.a. NPPES

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

DEREK ROBERTS APRN, P.A. (NPI 1245801380) is a healthcare organization registered as a psychiatric/mental health in Wichita, Kansas and active in the NPI registry since July 2021. The organization lists Derek Roberts, Aprn-bc, as its authorized official.

NPPES Registry Identity

NPI1245801380
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDEREK ROBERTS APRN, P.A.
Location Address8100 E 22ND ST N STE 1600-BWichita, KS 67226-2321
Mailing Address8100 E 22nd St N Ste 1600-bWichita, KS 67226-2321 · (316) 201-6424 · Fax (316) 201-6428
Phone(316) 201-6424
Organization SubpartNo
Authorized OfficialDerek RobertsAprn-bc · (316) 201-6424
Enumeration DateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
✔ NPI 1245801380 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
8100 E 22ND ST N STE 1600-B, Wichita, KS 67226
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Roberts Aprn, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKansasEnrollment IDO20211011002845Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Derek Roberts Aprn, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Derek Roberts, APRN-BC
Nurse Practitioner
NPI 1043735509
8100 E 22ND ST N STE 1600-B
Wichita, KS 67226
(316) 201-6424
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Derek Roberts Aprn, P.A.'s NPI number?

The NPI number for Derek Roberts Aprn, P.A. is 1245801380. It was assigned to this organization in the NPPES registry on July 9, 2021.

Where is Derek Roberts Aprn, P.A. located?

Derek Roberts Aprn, P.A. is located at 8100 E 22nd St N Ste 1600-B, Wichita, KS 67226. The listed phone number is (316) 201-6424.

What is Derek Roberts Aprn, P.A.'s specialty?

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

Is Derek Roberts Aprn, P.A. enrolled in Medicare?

Yes. Derek Roberts Aprn, P.A. is registered in the Medicare PECOS enrollment system.

When is Derek Roberts Aprn, P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kansas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Derek Roberts Aprn, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Derek Roberts Aprn, P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Derek Roberts Aprn, P.A. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Derek Roberts Aprn, P.A. 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 Derek Roberts Aprn, P.A. was last updated on July 9, 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.