MRS. KELLY M ROBERTS FNP-C
NPI 1568912129
Nurse Practitioner - Family in Saint Louis, MO
About Mrs. Kelly M Roberts Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY M ROBERTS FNP-C (NPI 1568912129) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2016034715) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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 and accepts Medicare assignment
Mrs. Kelly M Roberts Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Roberts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Festus, MO 63028
- Reassigned Medicare billing, Missouri enrollment
- 29 clinicians in this Medicare group
Farmington, MO 63640
- Reassigned Medicare billing, Missouri enrollment
- 15 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.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital St Louis
Acute Care Hospitals · Saint Louis, MOBarnes Jewish Hospital
Acute Care Hospitals · Saint Louis, MOMercy Hospital South
Acute Care Hospitals · Saint Louis, MOSsm St Clare Health Center
Acute Care Hospitals · Fenton, MOSt Lukes Hospital
Acute Care Hospitals · Chesterfield, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
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 Kelly Roberts's NPI number?
The NPI number for Kelly Roberts is 1568912129. It was assigned to this individual provider in the NPPES registry on October 7, 2016.
Where is Kelly Roberts located?
Kelly Roberts practices at 12700 Southfork Rd, Saint Louis, MO 63128. The listed phone number is (314) 525-1798.
What is Kelly Roberts's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Roberts enrolled in Medicare?
Yes. Kelly 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 Kelly Roberts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Roberts reassigns Medicare benefits to 2 organizations: Mercy Clinic Hyperbaric And Wound Care LLC (Festus, MO) and Midwest Health Group LLC (Farmington, MO). 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 Kelly Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Roberts accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Kelly 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 Kelly Roberts affiliated with any hospitals?
According to CMS data, Kelly Roberts is affiliated with Mercy Hospital St Louis, Barnes Jewish Hospital, Mercy Hospital South, Ssm St Clare Health Center and St Lukes Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Roberts was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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. Kelly M Roberts, FNP-C · NPI 1568912129
Family physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since October 7, 2016.
## Identity
- **NPI:** 1568912129 (Entity type: Individual)
- **Enumerated:** October 7, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2016034715 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12700 SOUTHFORK RD, Saint Louis, MO 63128-3206
- **Phone:** (314) 525-1798 · **Fax:** (314) 525-4469
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Hyperbaric And Wound Care LLC (NPI 1336568864, Festus, MO); Midwest Health Group LLC (NPI 1295857340, Farmington, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 16, 2025
- **Other identifiers:** Medicaid 1568912129 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1568912129) · Data from the CMS NPPES public registry.