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MAYORY ROBERTS APRN
NPI 1447896568
Nurse Practitioner - Family in Hammond, IN

Active since November 25, 2019PECOS EnrolledAccepts Medicare Assignment
1828 165TH ST STE A, HAMMOND, IN 46320(219) 763-8112(219) 844-9006 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2021, Jan 24, 2020, Nov 25, 2019 (3 updates tracked since 2019).

About Mayory Roberts Aprn NPPES

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

MAYORY ROBERTS APRN (NPI 1447896568) is an individual family provider in Hammond, Indiana, licensed in Indiana (71010982A) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1447896568
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAYORY ROBERTSCredential: APRN
Location Address1828 165TH ST STE AHammond, IN 46320-2823
Mailing AddressPo Box 1430Portage, IN 46368-9230 · (219) 763-8112 · Fax (219) 764-5333
Phone(219) 763-8112
Fax(219) 844-9006
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 25, 2019
Last NPPES UpdateApril 30, 20213 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1447896568 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 IN · 71010982A✔ Licensed in OH · 025912
1828 165TH ST STE A, Hammond, IN 46320
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

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

Mayory Roberts Aprn 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 ID3870927858
PECOS Enrollment IDI20191227002021, I20201027002413
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

5

Medicare enrollment records show Mayory Roberts reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northshore Health Centers, Inc
Same address
Federally Qualified Health Center (FQHC)
1828 165TH ST STE A
Hammond, IN 46320
  • Reassigned Medicare billing, Indiana enrollment
  • 134 clinicians in this Medicare group
NPI 1023440526 (219) 763-8112
Equitas Health, Inc
203 mi
Federally Qualified Health Center (FQHC)
613 W ALEXIS RD
Toledo, OH 43612
  • Reassigned Medicare billing, Ohio enrollment
  • 63 clinicians in this Medicare group
NPI 1063239911 (833) 378-4827
Complexcare Medical Group Midwest M PLLC
216 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Ohio enrollment
  • 55 clinicians in this Medicare group
NPI 1528851607 (248) 660-1220
Lawrenceburg Urgent Care
220 mi
Urgent Care
555 E EADS PKWY, STE 150
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Indiana enrollment
  • 7 clinicians in this Medicare group
NPI 1629181102 (812) 539-2911
Cg Medical Associates Inc
240 mi
Urgent Care
7300 BEECHMONT AVE
Cincinnati, OH 45230
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 59 clinicians in this Medicare group
NPI 1982903951 (513) 232-9100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services26 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
14 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150086
Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46320 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 5

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

NORTHSHORE HEALTH CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1828 165TH ST STE A
HAMMOND, IN 46320
Lake County (219) 763-8112
NORTHSHORE HEALTH CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1828 165TH ST STE A
HAMMOND, IN 46320
Lake County (219) 764-5349
DR. MATTHEW LORENZO TRINIDAD DC
Chiropractor
1828 165TH ST STE A
HAMMOND, IN 46320
Lake County (219) 763-8112
JOSEPH GERARD HOFFERTH D.C.
Chiropractor
1828 165TH ST STE A
HAMMOND, IN 46320
Lake County (219) 763-8112
VERNEDIA SLAUGHTER ANP
Nurse Practitioner (Family)
1828 165TH ST STE A
HAMMOND, IN 46320
Lake County (219) 763-8112

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 Mayory Roberts's NPI number?

The NPI number for Mayory Roberts is 1447896568. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Where is Mayory Roberts located?

Mayory Roberts practices at 1828 165th St Ste A, Hammond, IN 46320. The listed phone number is (219) 763-8112.

What is Mayory Roberts's specialty?

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

Is Mayory Roberts enrolled in Medicare?

Yes. Mayory 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.

Which organizations bill Medicare for Mayory Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayory Roberts reassigns Medicare benefits to 5 organizations: Northshore Health Centers, Inc (Hammond, IN), Equitas Health, Inc (Toledo, OH), Complexcare Medical Group Midwest M PLLC (Novi, MI), Lawrenceburg Urgent Care (Lawrenceburg, IN) and Cg Medical Associates Inc (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mayory Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mayory Roberts accept?

Health plans from CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Mayory 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.

Is Mayory Roberts affiliated with any hospitals?

According to CMS data, Mayory Roberts is affiliated with St Elizabeth Dearborn Hospital.

When was this NPI record last updated?

The NPPES record for Mayory Roberts was last updated on April 30, 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.