TATONYA MONIQUE ROBERTS FNP
NPI 1639603293
Nurse Practitioner - Family in Ballwin, MO

Q: 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.

Q: What is Tatonya Roberts's specialty?

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

Q: 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.

Active since April 20, 2017PECOS EnrolledAccepts Medicare Assignment

14400 CLAYTON RD, BALLWIN, MO 63011(636) 207-1137 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Jun 21, 2024, Apr 20, 2017 (3 updates tracked since 2017).

On this page

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

NPI1639603293

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTATONYA MONIQUE ROBERTSCredential: FNP

Location Address14400 CLAYTON RDBallwin, MO 63011-2713

Mailing Address14400 Clayton RdBallwin, MO 63011-2713 · (636) 207-1137

Phone(636) 207-1137

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 20, 2017

Last NPPES UpdateJune 25, 20243 updates tracked since enumeration

NPPES CertifiedJune 25, 2024

✔ NPI 1639603293 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 MO · 2017004145✔ Licensed in IL · 209015544

14400 CLAYTON RD, Ballwin, MO 63011

Open in Google Maps ↗

Other Identifiers 1

OtherF1116320IL · Aanp Certification

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

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.

PECOS PAC ID5597030668

PECOS Enrollment IDI20190128002802

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.

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.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

40 services40 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

36 services36 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services23 patients

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.

New Patient

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

Leave this field empty

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.

MR. DENNIS MICHAEL STREMSTERFER RPH

Pharmacist