LEEANN RACHELLE ROBERTS NP
NPI 1831710581
Nurse Practitioner - Family in Bloomington, IN

Active since May 05, 2020PECOS EnrolledAccepts Medicare Assignment
87.53/100
CMS Quality Rating
5921 W STATE ROAD 46, BLOOMINGTON, IN 47404(812) 935-8866 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2022, Jan 11, 2021, May 5, 2020 (3 updates tracked since 2020).

About Leeann Rachelle Roberts Np NPPES

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

LEEANN RACHELLE ROBERTS NP (NPI 1831710581) is an individual family provider in Bloomington, Indiana, licensed in Indiana (28216246A) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Crawford Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831710581
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEEANN RACHELLE ROBERTSCredential: NP
Location Address5921 W STATE ROAD 46Bloomington, IN 47404-9359
Mailing AddressPo Box 21890Belfast, ME 04915-4115 · (502) 907-0356 · Fax (502) 919-9780
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 5, 2020
Last NPPES UpdateFebruary 20, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
NPI 1831710581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IN · 28216246A Licensed in KY · 3014858 Licensed in IL · 209.022118 Licensed in IN · 71010017A
5921 W STATE ROAD 46, Bloomington, IN 47404

Secondary Practice Locations 2

Location 1520 S 7th St # 159Vincennes, IN 47591-1038 · Phone (812) 316-0327
Location 21418 College DrMount Carmel, IL 62863-2638 · Phone (812) 476-7111

Other Identifiers 10

Medicaid7100668200KY
OtherPDZ000000500406KY · Aetna Better Health Of Kentucky Provider Id Number
Other7427472United Healthcare Provider Id Number
Other2234405KY · Wellcare Of Kentucky Provider Id Number
Other284847Siho Provider Id Number
Medicaid300037929IN
Other6246517Aetna Provider Id Number
Other000001373756Anthem Provider Id Number
Other3014858KY · State License
OtherCS2020500316Caresource Provider Id Number

Accepted 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

Leeann Rachelle Roberts Np 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 ID2163853102
PECOS Enrollment IDI20200507002094, I20200803000999, I20201020001104
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 7

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.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
487 services183 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
403 services146 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
306 services171 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
144 services74 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
53 services38 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
49 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Crawford Memorial Hospital

Critical Access Hospitals · Robinson, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141343
Location1000 North Allen StreetRobinson, IL 62454 · Crawford County
Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150042
Location520 S 7th StVincennes, IN 47591 · Knox County
Emergency services Birthing friendly

Daviess Community Hospital

Acute Care Hospitals · Washington, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150061
Location1314 E Walnut StWashington, IN 47501 · Daviess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47404 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

87.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.58
Promoting Interoperability100
Improvement Activities40
Cost68.08

Reported Quality Measures

Advance Care Plan
71%245 patients3/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
15%27 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
47%47 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%54 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,440 patients4/55-star benchmark: 100%
e-Prescribing
94%767 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%766 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
56%707 patients3/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
87%570 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 251 patients
Patients totalRate: 11% · 251 patients
9%251 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404
Nurse Practitioner (Family)
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404
Nurse Practitioner (Family)
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404
Internal Medicine
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404
Family Medicine
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404
Family Medicine
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404
Family Medicine
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404

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 Leeann Roberts's NPI number?

The NPI number for Leeann Roberts is 1831710581. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Leeann Roberts located?

Leeann Roberts practices at 5921 W State Road 46, Bloomington, IN 47404. The listed phone number is (812) 935-8866.

What is Leeann Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leeann Roberts enrolled in Medicare?

Yes. Leeann 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.

What insurance does Leeann Roberts accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Leeann Roberts 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.

Is Leeann Roberts affiliated with any hospitals?

According to CMS data, Leeann Roberts is affiliated with Crawford Memorial Hospital, Good Samaritan Hospital and Daviess Community Hospital.

When was this NPI record last updated?

The NPPES record for Leeann Roberts was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.