MR. PAUL ROBERTSON MS, RDN, LDN
NPI 1770718298
Dietitian, Registered - Nutrition, Metabolic in Jackson, MS
About Mr. Paul Robertson Ms, Rdn, Ldn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAUL ROBERTSON MS, RDN, LDN (NPI 1770718298) is an individual nutrition, metabolic provider in Jackson, Mississippi, licensed in Mississippi (D1361) and active in the NPI registry since May 2009. He is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Mr. Paul Robertson Ms, Rdn, Ldn 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 Reassignment
Medicare enrollment records show Paul Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39213
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39213
JACKSON, MS 39213
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 Paul Robertson's NPI number?
The NPI number for Paul Robertson is 1770718298. It was assigned to this individual provider in the NPPES registry on May 28, 2009.
Where is Paul Robertson located?
Paul Robertson practices at 350 West Woodrow Wilson Avenue Ambulatory Services - Outpatient Dietitian, Jackson, MS 39213. The listed phone number is (601) 815-2500.
What is Paul Robertson's specialty?
The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.
Is Paul Robertson enrolled in Medicare?
Yes. Paul 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 organization bills Medicare for Paul Robertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Robertson reassigns Medicare benefits to State Of Mississippi- University Of Mississippi Medical Center (Jackson, MS). 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 Paul Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Robertson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Paul Robertson 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 Paul Robertson was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mr. Paul Robertson, MS, RDN, LDN · NPI 1770718298
Nutrition, Metabolic provider in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since May 28, 2009.
## Identity
- **NPI:** 1770718298 (Entity type: Individual)
- **Enumerated:** May 28, 2009
- **Primary specialty:** Dietitian, Registered - Nutrition, Metabolic · taxonomy 133VN1006X
- **State license:** D1361 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 350 WEST WOODROW WILSON AVENUE, AMBULATORY SERVICES - OUTPATIENT DIETITIAN, Jackson, MS 39213
- **Phone:** (601) 815-2500 · **Fax:** (601) 984-4074
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** State Of Mississippi- University Of Mississippi Medical Center (NPI 1194930693, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** January 27, 2016
- **Other identifiers:** Medicare PIN 302I717177 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1770718298) · Data from the CMS NPPES public registry.