DR. NOLEN FREDERICK ROBERSON III M.D.
NPI 1306150834
Family Medicine in Fpo, AP
About Dr. Nolen Frederick Roberson Iii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NOLEN FREDERICK ROBERSON III M.D. (NPI 1306150834) is an individual family medicine provider in Fpo, AP, licensed in Indiana (01070050A) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nolen Frederick Roberson Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nolen Roberson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Covington, TN 38019
- Reassigned Medicare billing, Tennessee enrollment
- 17 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.
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.
FPO, AP 96350
FPO, AP 96350
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 Nolen Roberson's NPI number?
The NPI number for Nolen Roberson is 1306150834. It was assigned to this individual provider in the NPPES registry on July 26, 2010.
Where is Nolen Roberson located?
Nolen Roberson practices at Psc 475 Box 1, Fpo, AP 96350. The listed phone number is (046) 816-7411.
What is Nolen Roberson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nolen Roberson enrolled in Medicare?
Yes. Nolen Roberson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nolen Roberson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nolen Roberson reassigns Medicare benefits to Telos Health Systems Tn PLLC (Covington, TN). The 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 Nolen Roberson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nolen Roberson was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Nolen Frederick Roberson III, M.D. · NPI 1306150834
Family Medicine physician in Fpo, AP. Individual provider, active in the CMS NPPES registry since July 26, 2010.
## Identity
- **NPI:** 1306150834 (Entity type: Individual)
- **Enumerated:** July 26, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 01070050A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** PSC 475 BOX 1, Fpo, AP 96350-1200
- **Phone:** (046) 816-7411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Telos Health Systems Tn PLLC (NPI 1942160155, Covington, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1306150834) · Data from the CMS NPPES public registry.