MRS. KIMBERLY S ROBERTS FNP
NPI 1407210685
Nurse Practitioner - Family in Henderson, TN

Active since April 13, 2016PECOS EnrolledAccepts Medicare Assignment
111 FRONT ST, HENDERSON, TN 38340(731) 989-2829(731) 520-0230 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2021, Mar 30, 2021, Sep 1, 2020 and 3 more (6 updates tracked since 2019).

About Mrs. Kimberly S Roberts Fnp NPPES

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

MRS. KIMBERLY S ROBERTS FNP (NPI 1407210685) is an individual family provider in Henderson, Tennessee, licensed in Tennessee (21131) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Middleton, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1407210685
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIMBERLY S ROBERTSCredential: FNP
Location Address111 FRONT STHenderson, TN 38340-2313
Mailing Address111 Front StHenderson, TN 38340-2313 · (731) 989-2829 · Fax (731) 520-0230
Fax(731) 520-0230
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 13, 2016
Last NPPES UpdateJuly 9, 20216 updates tracked since enumeration
NPPES CertifiedJuly 9, 2021
NPI 1407210685 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 TN · 21131
111 FRONT ST, Henderson, TN 38340

Secondary Practice Location 1

Location 1702 S Main StMiddleton, TN 38052-3615 · Phone (731) 989-2829

Accepted Insurance

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

Mrs. Kimberly S Roberts Fnp 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 ID9931476835
PECOS Enrollment IDI20170524002722
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 38340 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Acute Care)
111 FRONT ST
HENDERSON, TN 38340
Physician Assistant
111 FRONT ST
HENDERSON, TN 38340
Nurse Practitioner (Family)
111 FRONT ST
HENDERSON, TN 38340
Clinic/Center (Rural Health)
111 FRONT ST
HENDERSON, TN 38340

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 Kimberly Roberts's NPI number?

The NPI number for Kimberly Roberts is 1407210685. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Kimberly Roberts located?

Kimberly Roberts practices at 111 Front St, Henderson, TN 38340. The listed phone number is (731) 989-2829.

What is Kimberly Roberts's specialty?

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

Is Kimberly Roberts enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Roberts accept?

Health plans from BlueCross BlueShield of Tennessee list Kimberly Roberts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Roberts was last updated on July 9, 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.