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

Q: 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.

Q: What is Mayory Roberts'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 Mayory Roberts was last updated on April 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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 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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance.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

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.

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

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))