HOLLY R ROBERTS PA-C
NPI 1962150946
Physician Assistant in Pleasant Prairie, WI

Q: What is Holly Roberts's NPI number?

The NPI number for Holly Roberts is 1962150946. It was assigned to this individual provider in the NPPES registry on March 17, 2022. The provider is also known as Holly R Beard PA.

Q: What is Holly Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Roberts was last updated on August 7, 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.

Active since March 17, 2022PECOS EnrolledAccepts Medicare Assignment

12500 AURORA DR, PLEASANT PRAIRIE, WI 53158(262) 857-5000(262) 857-5001 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2023, May 25, 2022 (2 updates tracked since 2022).

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About Holly R Roberts Pa-c NPPES

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

HOLLY R ROBERTS PA-C (NPI 1962150946) is an individual physician assistant in Pleasant Prairie, Wisconsin, licensed in Wisconsin (5760-023) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1962150946

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHOLLY R ROBERTSCredential: PA-C

Location Address12500 AURORA DRPleasant Prairie, WI 53158-1227

Mailing Address12500 Aurora DrPleasant Prairie, WI 53158-1227 · (262) 857-5000 · Fax (262) 857-5001

Phone(262) 857-5000

Fax(262) 857-5001

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 17, 2022

Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration

NPPES CertifiedAugust 7, 2023

✔ NPI 1962150946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 5760-023

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

12500 AURORA DR, Pleasant Prairie, WI 53158

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Other Names 1

Former Name (1)Holly R Beard Pa

Other Identifiers 1

Medicaid100197616WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), Quartz and more.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

Holly R Roberts Pa-c 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 ID6002202264

PECOS Enrollment IDI20220415000888

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.

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520189

Location10400 75th StKenosha, WI 53142 · Kenosha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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.

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