KENDALL NICOLE ROBERSON APRN, CNP, PMHNP-BC
NPI 1417721556
Nurse Practitioner - Psychiatric/Mental Health in Tulsa, OK

Active since November 09, 2023PECOS EnrolledAccepts Medicare Assignment
6400 S LEWIS AVE STE 100, TULSA, OK 74136(405) 378-2727 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2025, Nov 9, 2023 (2 updates tracked since 2023).

About Kendall Nicole Roberson Aprn, Cnp, Pmhnp-bc NPPES

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

KENDALL NICOLE ROBERSON APRN, CNP, PMHNP-BC (NPI 1417721556) is an individual psychiatric/mental health provider in Tulsa, Oklahoma, licensed in Oklahoma (217056) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417721556
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKENDALL NICOLE ROBERSONCredential: APRN, CNP, PMHNP-BC
Location Address6400 S LEWIS AVE STE 100Tulsa, OK 74136-1019
Mailing Address6400 S Lewis Ave Ste 100Tulsa, OK 74136-1019 · (405) 378-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 9, 2023
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
NPI 1417721556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OK · 217056
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License R0131062 (OK)
6400 S LEWIS AVE STE 100, Tulsa, OK 74136

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

Kendall Nicole Roberson Aprn, Cnp, Pmhnp-bc 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 ID4284135492
PECOS Enrollment IDI20250829000115
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 74136 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 20

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

Counselor (Professional)
6400 S LEWIS AVE STE 100
TULSA, OK 74136
Counselor (Professional)
6400 S LEWIS AVE STE 100
TULSA, OK 74136
Marriage & Family Therapist
6400 S LEWIS AVE STE 100
TULSA, OK 74136
Nurse Practitioner (Psychiatric/Mental Health)
6400 S LEWIS AVE STE 100
TULSA, OK 74136
Social Worker (Clinical)
6400 S LEWIS AVE STE 100
TULSA, OK 74136
Social Worker (Clinical)
6400 S LEWIS AVE STE 100
TULSA, OK 74136
Nurse Practitioner (Psychiatric/Mental Health)
6400 S LEWIS AVE STE 100
TULSA, OK 74136
Marriage & Family Therapist
6400 S LEWIS AVE STE 100
TULSA, OK 74136

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 Kendall Roberson's NPI number?

The NPI number for Kendall Roberson is 1417721556. It was assigned to this individual provider in the NPPES registry on November 9, 2023.

Where is Kendall Roberson located?

Kendall Roberson practices at 6400 S Lewis Ave Ste 100, Tulsa, OK 74136. The listed phone number is (405) 378-2727.

What is Kendall Roberson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kendall Roberson enrolled in Medicare?

Yes. Kendall Roberson 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 Kendall Roberson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Kendall Roberson 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 Kendall Roberson was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.