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

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: November 01, 2026.

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

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, is affiliated with Miami Valley Hospital, 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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Mark Roberts reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Health Specialists Inc
Same address
Interventional Cardiology
122 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1477887917 (937) 223-4461
J & a Health And Wellness Services, LLC
6.9 mi
Adult Mental Health
1370 N FAIRFIELD RD STE D
Beavercreek, OH 45432
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
NPI 1992421523 (937) 912-5155
Clincare International Center Ltd
7.0 mi
Internal Medicine
2416 ESQUIRE DR, SUITE B
Beavercreek, OH 45431
  • Reassigned Medicare billing, Ohio enrollment
  • 16 clinicians in this Medicare group
NPI 1174914683 (937) 429-2422
Woodstream Wellness
8.9 mi
Psychiatric/Mental Health
9049 SPRINGBORO PIKE
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 84 clinicians in this Medicare group
NPI 1265001234 (937) 759-0545
Dayton Lung And Sleep Medicine Inc
9.8 mi
Pulmonary Disease
120 W WENGER RD STE 1
Englewood, OH 45322
  • Reassigned Medicare billing, Ohio enrollment
  • 18 clinicians in this Medicare group
NPI 1982621751 (937) 832-5292
Med Management Indiana PC
178 mi
Psychiatry
5300 MARYMOUNT VILLAGE DR
Garfield Heights, OH 44125
  • Reassigned Medicare billing, Ohio enrollment
  • 13 clinicians in this Medicare group
NPI 1225519333 (888) 365-6271

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

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)
122 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 223-4461
JAMIE SEILEY
Nurse Practitioner (Acute Care)
122 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 223-4461
LISA PLEIMAN RN
Internal Medicine (Cardiovascular Disease)
122 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 223-4461
DR. STEVEN EDWARD YOUNG MD
Internal Medicine (Cardiovascular Disease)
122 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 223-4461
MRS. MELISSA G COTTER RN
Registered Nurse
122 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 223-4461
DR. ZAKARIA HASSAN SHEIKHADEN D.O
Internal Medicine (Cardiovascular Disease)
122 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 223-4461
MS. LISA M GROW PAC
Physician Assistant
122 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 264-3037
STEPHEN CHARLES SCHRECK MD
Internal Medicine (Cardiovascular Disease)
122 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 223-4461

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 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.

Where is Mark Roberts located?

Mark Roberts practices at 122 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 223-4461.

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.

Is Mark Roberts enrolled in Medicare?

Yes. Mark 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 Mark Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Roberts reassigns Medicare benefits to 6 organizations: Premier Health Specialists Inc (Dayton, OH), J & a Health And Wellness Services, LLC (Beavercreek, OH), Clincare International Center Ltd (Beavercreek, OH), Woodstream Wellness (Miamisburg, OH), Dayton Lung And Sleep Medicine Inc (Englewood, OH) and 1 more organization, listed in the Medicare section above. 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 Mark Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Roberts accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Mark 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 Mark Roberts affiliated with any hospitals?

According to CMS data, Mark Roberts is affiliated with Miami Valley Hospital.

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 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.