MICHELE L ROBERTS PA-C
NPI 1376517722
Physician Assistant in Malta, IL

Active since February 14, 2006
21193 MALTA RD, MALTA, IL 60150(815) 752-3253(815) 752-3277 Get Directions Write a Review

NPPES record last updated: May 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michele L Roberts Pa-c NPPES

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

MICHELE L ROBERTS PA-C (NPI 1376517722) is an individual physician assistant in Malta, Illinois, licensed in Illinois (008500878) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1376517722
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELE L ROBERTSCredential: PA-C
Location Address21193 MALTA RDMalta, IL 60150-9600
Mailing Address13539 Il Route 76Poplar Grove, IL 61065-8832 · (815) 765-0147 · Fax (815) 765-0427
Fax(815) 752-3277
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateMay 19, 2017
NPI 1376517722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 008500878
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
21193 MALTA RD, Malta, IL 60150

Other Names 1

Former Name (1)Michelle Smith

Other Identifiers 4

Medicare ID-Type Unspecified561700
Medicare UPINS64211
Medicare PINIL8579004IL
Medicare PINF400094121IL

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Rural Health)
21193 MALTA RD
MALTA, IL 60150
Clinic/Center (Mental Health (Including Community Mental Health Center))
21193 MALTA RD, BLDG. A - U154
MALTA, IL 60150
Clinic/Center (Rural Health)
21193 MALTA RD
MALTA, IL 60150

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 Michele Roberts's NPI number?

The NPI number for Michele Roberts is 1376517722. It was assigned to this individual provider in the NPPES registry on February 14, 2006. The provider is also known as Michelle Smith.

Where is Michele Roberts located?

Michele Roberts practices at 21193 Malta Rd, Malta, IL 60150. The listed phone number is (815) 752-3253.

What is Michele Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Michele Roberts was last updated on May 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.