ANDREW GODFREY ROBERTSON CPNP-PC
NPI 1861148926
Nurse Practitioner - Pediatrics in Jackson, MS
About Andrew Godfrey Robertson Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW GODFREY ROBERTSON CPNP-PC (NPI 1861148926) is an individual pediatrics provider in Jackson, Mississippi, licensed in Mississippi (906479) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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 (PECOS)
Andrew Godfrey Robertson Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
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 Andrew Robertson's NPI number?
The NPI number for Andrew Robertson is 1861148926. It was assigned to this individual provider in the NPPES registry on February 28, 2022.
Where is Andrew Robertson located?
Andrew Robertson practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.
What is Andrew Robertson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Andrew Robertson enrolled in Medicare?
Yes. Andrew Robertson is registered in the Medicare PECOS enrollment system.
What insurance does Andrew Robertson accept?
Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare and UnitedHealthcare list Andrew 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 Andrew Robertson was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Andrew Godfrey Robertson, CPNP-PC · NPI 1861148926
Pediatrics physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since February 28, 2022.
## Identity
- **NPI:** 1861148926 (Entity type: Individual)
- **Enumerated:** February 28, 2022
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 906479 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861148926) · Data from the CMS NPPES public registry.