ROBERTA TANNER APRN-RX, FNP-C
NPI 1972769909
Nurse Practitioner - Family in Hilo, HI

Q: What is Roberta Tanner's NPI number?

The NPI number for Roberta Tanner is 1972769909. It was assigned to this individual provider in the NPPES registry on July 30, 2008.

Q: What is Roberta Tanner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roberta Tanner was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 30, 2008PECOS Enrolled

450 KILAUEA AVE, STE. 105 BAY CLINIC, INC., HILO, HI 96720(808) 961-4071(808) 961-5678 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2017, Jul 1, 2016 (2 updates tracked since 2016).

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About Roberta Tanner Aprn-rx, Fnp-c NPPES

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

ROBERTA TANNER APRN-RX, FNP-C (NPI 1972769909) is an individual family provider in Hilo, Hawaii, licensed in Hawaii (1427) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972769909

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameROBERTA TANNERCredential: APRN-RX, FNP-C

Location Address450 KILAUEA AVE, STE. 105 BAY CLINIC, INC.Hilo, HI 96720-3089

Mailing AddressHc 2 Box 9608Keaau, HI 96749-9332 · (808) 542-2742

Phone(808) 961-4071

Fax(808) 961-5678

Sole ProprietorYes

Enumeration DateJuly 30, 2008

Last NPPES UpdateFebruary 7, 20172 updates tracked since enumeration

✔ NPI 1972769909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in HI · 1427

Also ListedRegistered NurseTaxonomy 163W00000X · License RN-22282 (HI)

450 KILAUEA AVE, Hilo, HI 96720

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Other Identifiers 1

Medicare PIN1972769909HI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roberta Tanner Aprn-rx, Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96720 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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.

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 Roberta Tanner's NPI number?

The NPI number for Roberta Tanner is 1972769909. It was assigned to this individual provider in the NPPES registry on July 30, 2008.

Where is Roberta Tanner located?

Roberta Tanner practices at 450 Kilauea Ave Ste. 105 Bay Clinic, Inc., Hilo, HI 96720. The listed phone number is (808) 961-4071.

What is Roberta Tanner's specialty?

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

Is Roberta Tanner enrolled in Medicare?

Yes. Roberta Tanner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roberta Tanner was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.