JACQUELINE KELLY ROBERTS MD
NPI 1871947440
Pediatrics in Indianapolis, IN

Q: What is Jacqueline Roberts's NPI number?

The NPI number for Jacqueline Roberts is 1871947440. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Q: What is Jacqueline Roberts's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 20, 2016PECOS Enrolled

8414 NAAB RD, INDIANAPOLIS, IN 46260(317) 338-7510 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2019, Oct 17, 2016 (2 updates tracked since 2016).

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About Jacqueline Kelly Roberts Md NPPES

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

JACQUELINE KELLY ROBERTS MD (NPI 1871947440) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (01082822A) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871947440

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJACQUELINE KELLY ROBERTSCredential: MD

Location Address8414 NAAB RDIndianapolis, IN 46260

Mailing Address5455 N Grandin Hall CirCarmel, IN 46033-0009 · (513) 368-9085

Phone(317) 338-7510

Sole ProprietorNo

Enumeration DateApril 20, 2016

Last NPPES UpdateDecember 6, 20192 updates tracked since enumeration

✔ NPI 1871947440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01082822A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

8414 NAAB RD, Indianapolis, IN 46260

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Secondary Practice Locations 2

Location 1705 Riley Hospital DrIndianapolis, IN 46202-5109 · Phone (513) 368-9085

Location 28414 Naab RdIndianapolis, IN 46260 · Phone (317) 338-7510

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Kelly Roberts Md 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 Jacqueline Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Vincent Physician Services Hospital And Health Care Center

0.2 mi

Family Medicine

2001 W 86TH ST
Indianapolis, IN 46260

Reassigned Medicare billing, Indiana enrollment
510 clinicians in this Medicare group

NPI 1669422234 (317) 338-2273

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 46260 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.

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.

MERCEDES MARIA VALACER DO

Student in an Organized Health Care Education/Training Program