KENNETH ARON ROBERTS PA
NPI 1700625092
Physician Assistant in Kingsport, TN

Q: What is Kenneth Roberts's NPI number?

The NPI number for Kenneth Roberts is 1700625092. It was assigned to this individual provider in the NPPES registry on May 24, 2024.

Q: What is Kenneth Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Roberts was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 24, 2024PECOS EnrolledAccepts Medicare Assignment

2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660(423) 230-5000(423) 390-6852 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jan 26, 2026, Jul 30, 2024 (2 updates tracked since 2024).

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About Kenneth Aron Roberts Pa NPPES

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

KENNETH ARON ROBERTS PA (NPI 1700625092) is an individual physician assistant in Kingsport, Tennessee, licensed in Tennessee (6037) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1700625092

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKENNETH ARON ROBERTSCredential: PA

Location Address2050 MEADOWVIEW PKWYKingsport, TN 37660-7475

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111

Phone(423) 230-5000

Fax(423) 390-6852

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 24, 2024

Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1700625092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in TN · 6037✔ Licensed in VA · 0110011457

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2050 MEADOWVIEW PKWY, Kingsport, TN 37660

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Secondary Practice Locations 4

Location 11705 W Lakeview Dr Apt 2Johnson City, TN 37601-2168 · Phone (423) 507-4516

Location 21490 Park Ave NW Ste 3CNorton, VA 24273-1631 · Phone (276) 679-8890

Location 3127 Health Care Dr Ste 3Pennington Gap, VA 24277-2853 · Phone (276) 546-5212

Location 42033 Meadowview Ln Ste 110Kingsport, TN 37660-7569 · Phone (423) 230-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Kenneth Aron 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 ID749726610

PECOS Enrollment IDI20240726003625, I20260114003830

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440176

Location2000 Brookside DrKingsport, TN 37660 · Sullivan County

Emergency services Birthing friendly

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490053

Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN N. LOONEY NP

Nurse Practitioner (Family)