SALLIE KAYE ROBERTSON PA-C
NPI 1710900774
Physician Assistant in Plano, TX

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
4001 W 15TH ST STE 300, PLANO, TX 75093(214) 750-0808(214) 750-0120 Get Directions Write a Review

NPPES record last updated: January 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sallie Kaye Robertson Pa-c NPPES

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

SALLIE KAYE ROBERTSON PA-C (NPI 1710900774) is an individual physician assistant in Plano, Texas, licensed in Texas (PA00359) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Medical City Fort Worth, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1710900774
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSALLIE KAYE ROBERTSONCredential: PA-C
Location Address4001 W 15TH ST STE 300Plano, TX 75093-5802
Mailing AddressPo Box 99371Fort Worth, TX 76199-0371 · (682) 885-1860 · Fax (682) 885-1396
Fax(214) 750-0120
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 25, 2006
Last NPPES UpdateJanuary 2, 2018
NPI 1710900774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA00359
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA00359 (TX)
4001 W 15TH ST STE 300, Plano, TX 75093

Other Identifiers 2

Medicaid189134304TX
Medicaid189134305TX

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

Sallie Kaye Robertson Pa-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.

PECOS PAC ID7911080007
PECOS Enrollment IDI20130510000559
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

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.

Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Medical City Fort Worth

Acute Care Hospitals · Fort Worth, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450672
Location900 Eighth AvenueFort Worth, TX 76104 · Tarrant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 4

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

Urology (Pediatric Urology)
4001 W 15TH ST STE 300
PLANO, TX 75093
Physician Assistant
4001 W 15TH ST STE 300
PLANO, TX 75093
Orthopaedic Surgery
4001 W 15TH ST STE 300
PLANO, TX 75093
Physician Assistant
4001 W 15TH ST STE 300
PLANO, TX 75093

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 Sallie Robertson's NPI number?

The NPI number for Sallie Robertson is 1710900774. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Sallie Robertson located?

Sallie Robertson practices at 4001 W 15th St Ste 300, Plano, TX 75093. The listed phone number is (214) 750-0808.

What is Sallie Robertson's specialty?

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

Is Sallie Robertson enrolled in Medicare?

Yes. Sallie 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.

Is Sallie Robertson affiliated with any hospitals?

According to CMS data, Sallie Robertson is affiliated with Medical City Fort Worth.

When was this NPI record last updated?

The NPPES record for Sallie Robertson was last updated on January 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.