JULIA ROBERTS FNP-C
NPI 1285579011
Nurse Practitioner - Family in Salem, IL

Q: What is Julia Roberts's NPI number?

The NPI number for Julia Roberts is 1285579011. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Q: What is Julia Roberts's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Julia Roberts was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 20, 2026PECOS Enrolled

1201 RICKER RD, SALEM, IL 62881(618) 548-3194 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Julia Roberts Fnp-c NPPES

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

JULIA ROBERTS FNP-C (NPI 1285579011) is an individual family provider in Salem, Illinois, licensed in Illinois (209035359) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1285579011

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJULIA ROBERTSCredential: FNP-C

Location Address1201 RICKER RDSalem, IL 62881-4263

Mailing Address1201 Ricker RdSalem, IL 62881-4263 · (618) 548-3194

Phone(618) 548-3194

Sole ProprietorNo

Enumeration DateApril 20, 2026

NPPES CertifiedApril 20, 2026

✔ NPI 1285579011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209035359

1201 RICKER RD, Salem, IL 62881

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Secondary Practice Location 1

Location 11321 W Whittaker StSalem, IL 62881-2013 · Phone (618) 548-6644

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julia Roberts Fnp-c 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 62881 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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Other Providers at the Same Location NPPES 20

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

DEACONESS ILLINOIS CLINIC, INC

Family Medicine