GWENDOLYN EARLE ROBERSON MD, MA
NPI 1558504191
Psychiatry & Neurology - Psychiatry in Mount Laurel, NJ

Active since April 13, 2009PECOS EnrolledAccepts Medicare Assignment
1120 ROUTE 73 STE 300, MOUNT LAUREL, NJ 08054(856) 930-4097 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 5, 2024, Feb 6, 2023, Mar 15, 2021 and 1 more (4 updates tracked since 2016).

About Gwendolyn Earle Roberson Md, Ma NPPES

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

GWENDOLYN EARLE ROBERSON MD, MA (NPI 1558504191) is an individual psychiatry provider in Mount Laurel, New Jersey, licensed in Utah (7770041-1205) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1558504191
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameGWENDOLYN EARLE ROBERSONCredential: MD, MA
Location Address1120 ROUTE 73 STE 300Mount Laurel, NJ 08054-5113
Mailing Address82 S 1100 E, 404Salt Lake City, UT 84102-1686
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 13, 2009
Last NPPES UpdateJuly 5, 20244 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
✔ NPI 1558504191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in UT · 7770041-1205✔ Licensed in AZ · 74047✔ Licensed in MN · 70664
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychologistTaxonomy 103T00000X · License 7770041-1205 (UT)
1120 ROUTE 73 STE 300, Mount Laurel, NJ 08054

Secondary Practice Locations 4

Location 12000 Health Park DrBrentwood, TN 37027-4692 · Phone (615) 373-7600
Location 282 S 1100 E, 404Salt Lake City, UT 84102-1686 · Phone (801) 350-4777
Location 32450 Riverside AveMinneapolis, MN 55454-1450 · Phone (612) 672-1163
Location 47201 E 31st PlYuma, AZ 85365-8394 · Phone (928) 336-5660

Other Identifiers 1

Medicaid1558504191UT

Accepted 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

Gwendolyn Earle Roberson Md, Ma 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 ID4880901198
PECOS Enrollment IDI20240814000450
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

3

Medicare enrollment records show Gwendolyn Roberson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3605 MOUNT HOLLY HUNTERSVILLE RD, SUITE B
Charlotte, NC 28216
  • Reassigned Medicare billing, North Carolina enrollment
  • 673 clinicians in this Medicare group
Specialist
515 22ND AVE
Monroe, WI 53566
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
Specialist
406 W SOUTH JORDAN PKWY, SUITE 500
South Jordan, UT 84095
  • Reassigned Medicare billing, Utah enrollment
  • 254 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 08054 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
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 6

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

Social Worker (Clinical)
1120 ROUTE 73 STE 300
MOUNT LAUREL, NJ 08054
Psychiatry & Neurology (Psychiatry)
1120 ROUTE 73 STE 300
MOUNT LAUREL, NJ 08054
Psychiatry & Neurology (Psychiatry)
1120 ROUTE 73 STE 300
MOUNT LAUREL, NJ 08054
Marriage & Family Therapist
1120 ROUTE 73 STE 300
MOUNT LAUREL, NJ 08054
Social Worker (Clinical)
1120 ROUTE 73 STE 300
MOUNT LAUREL, NJ 08054
Psychiatry & Neurology (Psychiatry)
1120 ROUTE 73 STE 300
MOUNT LAUREL, NJ 08054

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 Gwendolyn Roberson's NPI number?

The NPI number for Gwendolyn Roberson is 1558504191. It was assigned to this individual provider in the NPPES registry on April 13, 2009.

Where is Gwendolyn Roberson located?

Gwendolyn Roberson practices at 1120 Route 73 Ste 300, Mount Laurel, NJ 08054. The listed phone number is (856) 930-4097.

What is Gwendolyn Roberson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Gwendolyn Roberson enrolled in Medicare?

Yes. Gwendolyn 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.

Which organizations bill Medicare for Gwendolyn Roberson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Roberson reassigns Medicare benefits to 3 organizations: Caromont Medical Group, Inc. (Charlotte, NC), The Monroe Clinic, Inc. (Monroe, WI) and Physician Group Of Utah Inc (South Jordan, UT). 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 Gwendolyn Roberson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gwendolyn Roberson accept?

Health plans from AmeriHealth Caritas Next list Gwendolyn 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 Gwendolyn Roberson was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.