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NICOLE ANN ROBERTS FNP
NPI 1972158624
Nurse Practitioner - Family in Fort Mohave, AZ

Active since August 08, 2019PECOS EnrolledAccepts Medicare Assignment
5717 S HIGHWAY 95 STE 4, FORT MOHAVE, AZ 86426(928) 577-2727(888) 498-4630 Get Directions Write a Review

NPPES record last updated: April 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2026, Aug 8, 2019 (2 updates tracked since 2019).

About Nicole Ann Roberts Fnp NPPES

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

NICOLE ANN ROBERTS FNP (NPI 1972158624) is an individual family provider in Fort Mohave, Arizona, licensed in Arizona (235981) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972158624
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE ANN ROBERTSCredential: FNP
Location Address5717 S HIGHWAY 95 STE 4Fort Mohave, AZ 86426-6050
Mailing Address5717 S Highway 95 Ste 4Fort Mohave, AZ 86426-6050 · (928) 577-2727 · Fax (888) 498-4630
Phone(928) 577-2727
Fax(888) 498-4630
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 8, 2019
Last NPPES UpdateApril 12, 20262 updates tracked since enumeration
NPPES CertifiedApril 12, 2026
✔ NPI 1972158624 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 AZ · 235981✔ Licensed in CA · 95012386
5717 S HIGHWAY 95 STE 4, Fort Mohave, AZ 86426
Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Ann Perez

Secondary Practice Locations 3

Location 13003 Hway 95 Ste 102Bullhead City, AZ 86442-7802 · Phone (928) 299-5333 · Fax (928) 299-5333
Location 23015 Hway 95 Ste 105Bullhead City, AZ 86442-4334 · Phone (928) 763-2001 · Fax (928) 763-2038
Location 31402 Bailey AveNeedles, CA 92363-3104 · Phone (760) 326-0222

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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 and accepts Medicare assignment

Nicole Ann Roberts Fnp 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 ID3678901790
PECOS Enrollment IDI20200723000990, I20210902002489
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 Reassignments

4

Medicare enrollment records show Nicole Roberts reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tucson Pain Institute PC
0.1 mi
Pain Medicine
5717 HWY 95 STE 6
Fort Mohave, AZ 86426
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
NPI 1295148856 (928) 577-2371
Blue River Health & Wellness, PLLC
0.8 mi
Family
1520 E HAMMER LN STE 104
Fort Mohave, AZ 86426
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
NPI 1356073852 (602) 315-0211
Lakeside Heart And Vascular Center PLLC
38 mi
Interventional Cardiology
1741 MESQUITE AVE, SUITE A100
Lake Havasu City, AZ 86403
  • Reassigned Medicare billing, Arizona enrollment
  • 36 clinicians in this Medicare group
NPI 1801194352 (928) 453-2727
Prescott Healthcare Solutions LLC
124 mi
Family Medicine
743 MILLER VALLEY RD
Prescott, AZ 86301
  • Reassigned Medicare billing, Arizona enrollment
  • 214 clinicians in this Medicare group
NPI 1821454505 (928) 777-9600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.
582 services208 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
295 services135 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.
147 services99 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
71 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86426 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims20 services$6.68 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier12 claims12 services$15.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nicole Roberts's NPI number?

The NPI number for Nicole Roberts is 1972158624. It was assigned to this individual provider in the NPPES registry on August 8, 2019. The provider is also known as Nicole Ann Perez.

Where is Nicole Roberts located?

Nicole Roberts practices at 5717 S Highway 95 Ste 4, Fort Mohave, AZ 86426. The listed phone number is (928) 577-2727.

What is Nicole Roberts's specialty?

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

Is Nicole Roberts enrolled in Medicare?

Yes. Nicole 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.

Which organizations bill Medicare for Nicole Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Roberts reassigns Medicare benefits to 4 organizations: Tucson Pain Institute PC (Fort Mohave, AZ), Blue River Health & Wellness, PLLC (Fort Mohave, AZ), Lakeside Heart And Vascular Center PLLC (Lake Havasu City, AZ) and Prescott Healthcare Solutions LLC (Prescott, AZ). Each 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 Nicole Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Roberts accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Nicole 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 Nicole Roberts was last updated on April 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.