MS. MARY JACQUELINE ROBERTS APRN, FNP
NPI 1609150598
Nurse Practitioner - Family in Scottsburg, IN

Active since October 10, 2011PECOS Enrolled
1465 N GARDNER ST, SCOTTSBURG, IN 47170(812) 752-0001(812) 752-0010 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Jacqueline Roberts Aprn, Fnp NPPES

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

MS. MARY JACQUELINE ROBERTS APRN, FNP (NPI 1609150598) is an individual family provider in Scottsburg, Indiana, licensed in Indiana (71004757A) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1609150598
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARY JACQUELINE ROBERTSCredential: APRN, FNP
Location Address1465 N GARDNER STScottsburg, IN 47170-7751
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9408 · Fax (502) 272-5116
Fax(812) 752-0010
Sole ProprietorYes
Enumeration DateOctober 10, 2011
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
NPI 1609150598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IN · 71004757A Licensed in KY · 3007173
1465 N GARDNER ST, Scottsburg, IN 47170

Secondary Practice Location 1

Location 11331 Christy Ave, #1Louisville, KY 40204-2038 · Phone (502) 583-3293

Other Identifiers 3

Medicaid201050260IN
Medicaid7100186690KY
Other71004757AIN · State License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Mary Jacqueline Roberts Aprn, Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47170 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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

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

Clinic/Center (Rural Health)
1465 N GARDNER ST
SCOTTSBURG, IN 47170

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 Mary Roberts's NPI number?

The NPI number for Mary Roberts is 1609150598. It was assigned to this individual provider in the NPPES registry on October 10, 2011.

Where is Mary Roberts located?

Mary Roberts practices at 1465 N Gardner St, Scottsburg, IN 47170. The listed phone number is (812) 752-0001.

What is Mary Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Roberts enrolled in Medicare?

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

What insurance does Mary Roberts accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Mary 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.

When was this NPI record last updated?

The NPPES record for Mary Roberts was last updated on February 26, 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.