MRS. EVELYN ROBERTS CNP
NPI 1508284167
Nurse Practitioner - Neonatal in Jackson, MS
About Mrs. Evelyn Roberts Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. EVELYN ROBERTS CNP (NPI 1508284167) is an individual neonatal provider in Jackson, Mississippi, licensed in Mississippi (860358) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Flowood.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Evelyn Roberts Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Evelyn Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 Evelyn Roberts's NPI number?
The NPI number for Evelyn Roberts is 1508284167. It was assigned to this individual provider in the NPPES registry on April 1, 2014. The provider is also known as Mrs. Evie Roberts Cnp.
Where is Evelyn Roberts located?
Evelyn Roberts practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 815-7100.
What is Evelyn Roberts's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Evelyn Roberts enrolled in Medicare?
Yes. Evelyn Roberts is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Evelyn Roberts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Roberts reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The 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 Evelyn Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evelyn Roberts accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Evelyn 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 Evelyn Roberts was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mrs. Evelyn Roberts, CNP · NPI 1508284167
Neonatal physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since April 1, 2014.
## Identity
- **NPI:** 1508284167 (Entity type: Individual)
- **Enumerated:** April 1, 2014
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 860358 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 815-7100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2025
- **Other identifiers:** Medicaid 07406587 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1508284167) · Data from the CMS NPPES public registry.