MARK ROBERTS
NPI 1588094825
Nurse Practitioner - Psychiatric/Mental Health in Dayton, OH

Q: What is Mark Roberts's NPI number?

The NPI number for Mark Roberts is 1588094825. It was assigned to this individual provider in the NPPES registry on November 23, 2013.

Q: What is Mark Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mark Roberts was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since November 23, 2013PECOS EnrolledAccepts Medicare Assignment

122 WYOMING ST, DAYTON, OH 45409(937) 223-4461(937) 449-7603 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2023, Jan 25, 2021 (2 updates tracked since 2021).

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About Mark Roberts NPPES

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

MARK ROBERTS (NPI 1588094825) is an individual psychiatric/mental health provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.0027441) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2020).

NPPES Registry Identity

NPI1588094825

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMARK ROBERTS

Location Address122 WYOMING STDayton, OH 45409-2731

Mailing Address1846 Spindletop LnDayton, OH 45458-6501 · (937) 991-3188 · Fax (937) 223-9811

Phone(937) 223-4461

Fax(937) 449-7603

Sole ProprietorYes

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2020

Enumeration DateNovember 23, 2013

Last NPPES UpdateOctober 14, 20242 updates tracked since enumeration

NPPES CertifiedOctober 14, 2024

✔ NPI 1588094825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OH · APRN.CNP.0027441

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License PN151753-M-IV (OH)

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.0027441 (OH)

122 WYOMING ST, Dayton, OH 45409

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Other Identifiers 1

Medicaid0424687OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mark Roberts 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 ID4789098096

PECOS Enrollment IDI20210128000595

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

DAVID LEE EVERS ANP-BC

Nurse Practitioner (Adult Health)