TATONYA MONIQUE ROBERTS FNP
NPI 1639603293
Nurse Practitioner - Family in Ballwin, MO
About Tatonya Monique Roberts Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TATONYA MONIQUE ROBERTS FNP (NPI 1639603293) is an individual family provider in Ballwin, Missouri, licensed in Missouri (2017004145) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Tatonya Monique Roberts Fnp 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 Tatonya Roberts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 741 clinicians in this Medicare group
Leawood, KS 66211
- Reassigned Medicare billing, Missouri enrollment
- 170 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tatonya Roberts's NPI number?
The NPI number for Tatonya Roberts is 1639603293. It was assigned to this individual provider in the NPPES registry on April 20, 2017.
Where is Tatonya Roberts located?
Tatonya Roberts practices at 14400 Clayton Rd, Ballwin, MO 63011. The listed phone number is (636) 207-1137.
What is Tatonya Roberts's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tatonya Roberts enrolled in Medicare?
Yes. Tatonya 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 Tatonya Roberts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tatonya Roberts reassigns Medicare benefits to 2 organizations: Ssm Health Care St Louis (Fenton, MO) and Minuteclinic Diagnostic Of Kansas PA (Leawood, KS). 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 Tatonya Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tatonya Roberts was last updated on June 25, 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.
# Tatonya Monique Roberts, FNP · NPI 1639603293
Family physician in Ballwin, Missouri. Individual provider, active in the CMS NPPES registry since April 20, 2017.
## Identity
- **NPI:** 1639603293 (Entity type: Individual)
- **Enumerated:** April 20, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2017004145 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 14400 CLAYTON RD, Ballwin, MO 63011-2713
- **Phone:** (636) 207-1137
## 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): Ssm Health Care St Louis (NPI 1275586174, Fenton, MO); Minuteclinic Diagnostic Of Kansas PA (NPI 1629005558, Leawood, KS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 25, 2024
- **Other identifiers:** Other F1116320 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1639603293) · Data from the CMS NPPES public registry.