LISA DIANE ROBERTS NP
NPI 1336804277
Nurse Practitioner - Family in Breckenridge, CO

Q: What is Lisa Roberts's NPI number?

The NPI number for Lisa Roberts is 1336804277. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Q: What is Lisa 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 Lisa Roberts was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 04, 2021PECOS EnrolledAccepts Medicare Assignment

85 REVETT DR, BRECKENRIDGE, CO 80424(239) 258-8191 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2026, Nov 4, 2021 (2 updates tracked since 2021).

On this page

About Lisa Diane Roberts Np NPPES

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

LISA DIANE ROBERTS NP (NPI 1336804277) is an individual family provider in Breckenridge, Colorado, licensed in Arkansas (235386) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Florence, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336804277

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA DIANE ROBERTSCredential: NP

Location Address85 REVETT DRBreckenridge, CO 80424-8956

Mailing Address85 Revett DrBreckenridge, CO 80424-8956

Phone(239) 258-8191

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 4, 2021

Last NPPES UpdateApril 1, 20262 updates tracked since enumeration

NPPES CertifiedApril 1, 2026

✔ NPI 1336804277 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 AR · 235386

85 REVETT DR, Breckenridge, CO 80424

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Secondary Practice Location 1

Location 1400 9th StFlorence, OR 97439-7398 · Phone (541) 997-8412 · Fax (541) 902-1695

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Diane Roberts Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567825375

PECOS Enrollment IDI20260323001906

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80424 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

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 Lisa Roberts's NPI number?

The NPI number for Lisa Roberts is 1336804277. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Where is Lisa Roberts located?

Lisa Roberts practices at 85 Revett Dr, Breckenridge, CO 80424. The listed phone number is (239) 258-8191.

What is Lisa Roberts's specialty?

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

Is Lisa Roberts enrolled in Medicare?

Yes. Lisa Roberts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Roberts was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.