KATY MICHELLE ROBERTSON NP
NPI 1366967408
Nurse Practitioner - Family in Jacksonville, NC

Q: What is Katy Robertson's NPI number?

The NPI number for Katy Robertson is 1366967408. It was assigned to this individual provider in the NPPES registry on August 10, 2017.

Q: What is Katy Robertson'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 Katy Robertson was last updated on June 28, 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.

Active since August 10, 2017PECOS EnrolledAccepts Medicare Assignment

612 COLLEGE ST, JACKSONVILLE, NC 28540(910) 347-2154(910) 347-4246 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 28, 2021, Aug 10, 2017 (2 updates tracked since 2017).

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About Katy Michelle Robertson Np NPPES

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

KATY MICHELLE ROBERTSON NP (NPI 1366967408) is an individual family provider in Jacksonville, North Carolina, licensed in North Carolina (5009766) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366967408

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATY MICHELLE ROBERTSONCredential: NP

Location Address612 COLLEGE STJacksonville, NC 28540-5311

Mailing Address612 College StJacksonville, NC 28540-5311 · (910) 347-2154 · Fax (910) 347-4246

Phone(910) 347-2154

Fax(910) 347-4246

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 10, 2017

Last NPPES UpdateJune 28, 20212 updates tracked since enumeration

NPPES CertifiedJune 28, 2021

✔ NPI 1366967408 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 NC · 5009766

612 COLLEGE ST, Jacksonville, NC 28540

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katy Michelle Robertson 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 ID3476802752

PECOS Enrollment IDI20180820002182

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 Reassignments

Medicare enrollment records show Katy Robertson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Med-X Consulting, PC

112 mi

Internal Medicine

10901 ASHLAND MILL CT
Raleigh, NC 27617

Reassigned Medicare billing, North Carolina enrollment
20 clinicians in this Medicare group

NPI 1174017511 (336) 306-9755

Carolina Pain And Weight Loss

204 mi

Pain Medicine

131 WELTON WAY
Mooresville, NC 28117

Reassigned Medicare billing, North Carolina enrollment
13 clinicians in this Medicare group

NPI 1598101974 (704) 360-4564

Doctor On Demand Professionals P C

2,498 mi

Family Medicine

1 CALIFORNIA ST STE 2300
San Francisco, CA 94111

Reassigned Medicare billing, North Carolina enrollment
22 clinicians in this Medicare group

NPI 1174931448 (800) 997-6196

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 28540 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

92%4,536 patients3/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

15%176 patients1/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

98%527 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

45%1,782 patients2/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

76%1,782 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

33%1,782 patients2/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

21%1,782 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

PAULA JOHNSON

Nurse Practitioner (Family)