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MRS. MARILYN MARGARET ROBERTS PA-C
NPI 1528392941
Physician Assistant - Medical in Eagle Butte, SD

Active since October 01, 2009PECOS Enrolled
CRHC, 24276 166TH ST, AIRPORT RD, EAGLE BUTTE, SD 57625(605) 964-7724 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Marilyn Margaret Roberts Pa-c NPPES

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

MRS. MARILYN MARGARET ROBERTS PA-C (NPI 1528392941) is an individual medical provider in Eagle Butte, South Dakota, licensed in California (PA20483) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528392941
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. MARILYN MARGARET ROBERTSCredential: PA-C
Location AddressCRHC, 24276 166TH ST, AIRPORT RDEagle Butte, SD 57625-1012
Mailing AddressCheyenne River Health Center, 24276 166th St, Airport RdEagle Butte, SD 57625-1012 · (605) 964-7724
Phone(605) 964-7724
Sole ProprietorYes
Enumeration DateOctober 1, 2009
Last NPPES UpdateMay 22, 2020
NPPES CertifiedMay 22, 2020
✔ NPI 1528392941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA20483
CRHC, Eagle Butte, SD 57625
Open in Google Maps ↗

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. Marilyn Margaret Roberts Pa-c 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier22 claims22 services$22.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Marilyn Roberts's NPI number?

The NPI number for Marilyn Roberts is 1528392941. It was assigned to this individual provider in the NPPES registry on October 1, 2009.

Where is Marilyn Roberts located?

Marilyn Roberts practices at Crhc 24276 166th St, Airport Rd, Eagle Butte, SD 57625. The listed phone number is (605) 964-7724.

What is Marilyn Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Marilyn Roberts enrolled in Medicare?

Yes. Marilyn Roberts is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marilyn Roberts was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.