MRS. ROBERTA ANN DACUS ARNP - NPI 1407835101 - Nurse Practitioner in New York, NY

Q: What is Roberta Dacus's NPI number?

The NPI number for Roberta Dacus is 1407835101. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Q: What is Roberta Dacus'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 Roberta Dacus was last updated on July 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Roberta Ann Dacus Arnp NPPES

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

MRS. ROBERTA ANN DACUS ARNP (NPI 1407835101) is an individual family provider in New York, New York, licensed in Texas (AP107088) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407835101

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. ROBERTA ANN DACUSCredential: ARNP

Location Address530 5TH AVE FL 10New York, NY 10036-5114

Mailing Address120 Horizon Ridge CvLiberty Hill, TX 78642-2079 · (915) 208-3468

Phone(917) 261-4414

Sole ProprietorNo

Enumeration DateJanuary 11, 2006

Last NPPES UpdateJuly 10, 20233 updates tracked since enumeration

NPPES CertifiedJuly 10, 2023

✔ NPI 1407835101 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

Licenses✔ Licensed in TX · AP107088✔ Licensed in MI · 4704379404✔ Licensed in CA · 20496✔ Licensed in CO · C-APN.0001472-C-NP✔ Licensed in WA · AP30006084✔ Licensed in NY · 348412✔ Licensed in IL · 209.025719

530 5TH AVE FL 10, New York, NY 10036

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Secondary Practice Locations 2

Location 1131 S Dearborn St Ste 1025Chicago, IL 60603-5517 · Phone (917) 261-4414

Location 21110 N Virgil AveLos Angeles, CA 90029-2016 · Phone (917) 261-4414

Other Identifiers 2

Other154934Lyi

Medicaid9632647WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, McLaren Health Plan Community, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Roberta Ann Dacus Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10036 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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 9

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

JANET CHEE SUN PA-C

Physician Assistant (Medical)