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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: October 25, 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
Phone(812) 752-0001
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
Open in Google Maps ↗

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

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 (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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Roberts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Little Clinic Of In LLC
28 mi
Family
815 HIGHLANDER POINT DR
Floyds Knobs, IN 47119
  • Reassigned Medicare billing, Indiana enrollment
  • 165 clinicians in this Medicare group
NPI 1558791384 (812) 923-7146
Community Medical Associates, Inc.
29 mi
Multi-Specialty
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Indiana enrollment
  • 465 clinicians in this Medicare group
NPI 1073089850 (502) 588-9490

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 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.

NORTON SCOTT HOSPITAL, LLC
Clinic/Center (Rural Health)
1465 N GARDNER ST
SCOTTSBURG, IN 47170
Scott County (812) 752-0001

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.

Which organizations bill Medicare for Mary Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Roberts reassigns Medicare benefits to 2 organizations: Little Clinic Of In LLC (Floyds Knobs, IN) and Community Medical Associates, Inc. (Louisville, KY). 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 Mary Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.