AUDREY R ROBERTS PA
NPI 1649038290
Physician Assistant - Medical in Little Rock, AR

Active since March 08, 2024PECOS EnrolledAccepts Medicare Assignment
4301 W MARKHAM ST # 594, LITTLE ROCK, AR 72205(501) 686-8000(501) 526-5148 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Mar 8, 2024 (2 updates tracked since 2024).

About Audrey R Roberts Pa NPPES

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

AUDREY R ROBERTS PA (NPI 1649038290) is an individual medical provider in Little Rock, Arkansas, licensed in Arkansas (PT2025-045) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Conway, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649038290
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAUDREY R ROBERTSCredential: PA
Location Address4301 W MARKHAM ST # 594Little Rock, AR 72205-7101
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Fax(501) 526-5148
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 8, 2024
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
NPI 1649038290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AR · PT2025-045
4301 W MARKHAM ST # 594, Little Rock, AR 72205

Secondary Practice Location 1

Location 141 Oak Tree CirConway, AR 72032-2112 · Phone (479) 871-6873

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 and accepts Medicare assignment

Audrey R Roberts Pa 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 ID1355854134
PECOS Enrollment IDI20250703001719
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.

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 Audrey Roberts's NPI number?

The NPI number for Audrey Roberts is 1649038290. It was assigned to this individual provider in the NPPES registry on March 8, 2024.

Where is Audrey Roberts located?

Audrey Roberts practices at 4301 W Markham St # 594, Little Rock, AR 72205. The listed phone number is (501) 686-8000.

What is Audrey Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Audrey Roberts enrolled in Medicare?

Yes. Audrey 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.

What insurance does Audrey Roberts accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Audrey 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 Audrey Roberts was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.