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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN1972769909HI

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Roberta Tanner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Whchc - Hawaii Island Community Health Center
Same address
Federally Qualified Health Center (FQHC)
450 KILAUEA AVE STE 105
Hilo, HI 96720
  • Reassigned Medicare billing, Hawaii enrollment
  • Medicare enrollment name: Bay Clinic Inc
  • 20 clinicians in this Medicare group
NPI 1053955120 (808) 961-4071
Kau Hospital
44 mi
Critical Access
1 KAMANI STREET
Pahala, HI 96777
  • Reassigned Medicare billing, Hawaii enrollment
  • 208 clinicians in this Medicare group
NPI 1982276127 (808) 932-4200

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 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.

Which organizations bill Medicare for Roberta Tanner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberta Tanner reassigns Medicare benefits to 2 organizations: Whchc - Hawaii Island Community Health Center (Hilo, HI) and Kau Hospital (Pahala, HI). 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 Roberta Tanner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.