SUSAN M. HOLMES ROBERTS RDN
NPI 1740724020
Dietitian, Registered in Ankeny, IA

Q: What is Susan Holmes Roberts's NPI number?

The NPI number for Susan Holmes Roberts is 1740724020. It was assigned to this individual provider in the NPPES registry on December 6, 2016.

Q: What is Susan Holmes Roberts's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since December 06, 2016Accepts Medicare Assignment

3210 SW COVES DR, ANKENY, IA 50023(515) 689-7115 Get Directions Write a Review

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Susan M. Holmes Roberts Rdn NPPES

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

SUSAN M. HOLMES ROBERTS RDN (NPI 1740724020) is an individual dietitian, registered in Ankeny, Iowa, licensed in Iowa (86059632) and active in the NPI registry since December 2016. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1740724020

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSUSAN M. HOLMES ROBERTSCredential: RDN

Location Address3210 SW COVES DRAnkeny, IA 50023-9143

Mailing Address3210 Sw Coves DrAnkeny, IA 50023-9143 · (515) 689-7115

Phone(515) 689-7115

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 6, 2016

Last NPPES UpdateDecember 30, 2016

✔ NPI 1740724020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IA · 86059632

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

3210 SW COVES DR, Ankeny, IA 50023

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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

Susan M. Holmes Roberts Rdn 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 ID5193061687

PECOS Enrollment IDI20190103001746

Medicare Billing Reassignment

Medicare enrollment records show Susan Holmes Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sac & Fox Of The Miss In Iowa

55 mi

Primary Care

1646 305TH STREET, STE A
Tama, IA 52339

Reassigned Medicare billing, Iowa enrollment
13 clinicians in this Medicare group

NPI 1962618355 (641) 484-4094

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 50023 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

$0.00 typical visit price

range $52.96 – $161.40

Typical copayment $0.00 (range $13.24 – $40.35)

Most-billed visit code NA

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Other Providers at the Same Location NPPES 2

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

DASH COACHING-CONSULTING SOLUTIONS

Dietitian, Registered

3210 SW COVES DR
ANKENY, IA 50023

Polk County (515) 689-7111

DASH COACHING-CONSULTING SOLUTIONS

Dietitian, Registered

3210 SW COVES DR
ANKENY, IA 50023

Polk County (515) 689-7115

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 Susan Holmes Roberts's NPI number?

The NPI number for Susan Holmes Roberts is 1740724020. It was assigned to this individual provider in the NPPES registry on December 6, 2016.

Where is Susan Holmes Roberts located?

Susan Holmes Roberts practices at 3210 SW Coves Dr, Ankeny, IA 50023. The listed phone number is (515) 689-7115.

What is Susan Holmes Roberts's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Susan Holmes Roberts enrolled in Medicare?

Yes. Susan Holmes 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.

Which organization bills Medicare for Susan Holmes Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Holmes Roberts reassigns Medicare benefits to Sac & Fox Of The Miss In Iowa (Tama, IA). The 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 Susan Holmes Roberts'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 Susan Holmes Roberts was last updated on December 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.