ALICE ANN ROBERTSON CNM, FNP-C
NPI 1669854287
Nurse Practitioner - Family in Charlotte, NC
About Alice Ann Robertson Cnm, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICE ANN ROBERTSON CNM, FNP-C (NPI 1669854287) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5012373) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains 9 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 9
Other Identifiers 3
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
Alice Ann Robertson Cnm, Fnp-c 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
3Medicare enrollment records show Alice Robertson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 62 clinicians in this Medicare group
Indianapolis, IN 46220
- Reassigned Medicare billing, Florida, Illinois, Indiana, Massachusetts and North Carolina enrollments
- Medicare enrollment name: Cityblock Medical Practice PA
- 41 clinicians in this Medicare group
Staten Island, NY 10301
- Reassigned Medicare billing, New York enrollment
- 724 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Alice Robertson's NPI number?
The NPI number for Alice Robertson is 1669854287. It was assigned to this individual provider in the NPPES registry on June 19, 2015. The provider is also known as Alice Ann Hermanson Cnm, Fnp-C.
Where is Alice Robertson located?
Alice Robertson practices at 4444 The Plz, Charlotte, NC 28215. The listed phone number is (980) 495-0340.
What is Alice Robertson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alice Robertson enrolled in Medicare?
Yes. Alice Robertson 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 Alice Robertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alice Robertson reassigns Medicare benefits to 3 organizations: Cityblock Medical Practice, LLC (Columbus, OH), Cityblock Medical Practice, P.A. (Indianapolis, IN) and Advantagecare Physicians PC (Staten Island, NY). 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 Alice Robertson'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 Alice Robertson was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.
# Alice Ann Robertson, CNM, FNP-C · NPI 1669854287
Family physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since June 19, 2015.
## Identity
- **NPI:** 1669854287 (Entity type: Individual)
- **Enumerated:** June 19, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5012373 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4444 THE PLZ, Charlotte, NC 28215-2189
- **Phone:** (980) 495-0340 · **Fax:** (980) 273-1115
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Cityblock Medical Practice, LLC (NPI 1013673821, Columbus, OH); Cityblock Medical Practice, P.A. (NPI 1588296784, Indianapolis, IN); Advantagecare Physicians PC (NPI 1063954113, Staten Island, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 25, 2026
- **Other identifiers:** Medicaid 23382385 (DC); Medicaid 0479555 (OH); Medicaid 06879441 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1669854287) · Data from the CMS NPPES public registry.