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KAROLYN MARIE ROBERTS APRN
NPI 1851097646
Nurse Practitioner - Pediatrics in Lexington, KY

Active since February 02, 2023PECOS Enrolled
740 S LIMESTONE STE 201, LEXINGTON, KY 40536(859) 257-3533(859) 257-6024 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Karolyn Marie Roberts Aprn NPPES

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

KAROLYN MARIE ROBERTS APRN (NPI 1851097646) is an individual pediatrics provider in Lexington, Kentucky, licensed in Kentucky (3018968) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851097646
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKAROLYN MARIE ROBERTSCredential: APRN
Location Address740 S LIMESTONE STE 201Lexington, KY 40536-7001
Mailing Address1108 Gallant DrWilmore, KY 40390-2002 · (859) 608-0989
Phone(859) 257-3533
Fax(859) 257-6024
Sole ProprietorNo
Enumeration DateFebruary 2, 2023
Last NPPES UpdateApril 17, 2023
NPPES CertifiedApril 17, 2023
✔ NPI 1851097646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in KY · 3018968
740 S LIMESTONE STE 201, Lexington, KY 40536
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karolyn Marie Roberts Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

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

University Of Kentucky
Same address
Dentist
740 S LIMESTONE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1730225129 (859) 257-3462

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 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $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.

DANIELLE S. WALSH MD
Surgery (Pediatric Surgery)
740 S LIMESTONE STE 201
LEXINGTON, KY 40536
Fayette County (859) 218-2522
MEAGAN KOMONDOREAS CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
740 S LIMESTONE STE 201
LEXINGTON, KY 40536
Fayette County (859) 218-2522

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 Karolyn Roberts's NPI number?

The NPI number for Karolyn Roberts is 1851097646. It was assigned to this individual provider in the NPPES registry on February 2, 2023.

Where is Karolyn Roberts located?

Karolyn Roberts practices at 740 S Limestone Ste 201, Lexington, KY 40536. The listed phone number is (859) 257-3533.

What is Karolyn Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Karolyn Roberts enrolled in Medicare?

Yes. Karolyn Roberts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karolyn Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karolyn Roberts reassigns Medicare benefits to University Of Kentucky (Lexington, KY). 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 Karolyn Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karolyn Roberts accept?

Health plans from Anthem Blue Cross and Blue Shield list Karolyn 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.

When was this NPI record last updated?

The NPPES record for Karolyn Roberts was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.