DR. JESSIELA VENIS ROBERTS (M.D.) – Family Medicine Physician, NPI 1104168459

DR. JESSIELA VENIS ROBERTS (M.D.) is a healthcare provider. based in Fort smith, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. E-9138 (AR). The NPI Number for DR. JESSIELA VENIS ROBERTS (M.D.) is 1104168459

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSIELA VENIS ROBERTS (M.D.)
NPI
1104168459
Phone
(479) 785-2431
Address
612 S 12TH ST
Enumeration Date
25 March 2013
Last Update Date
24 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4797852431
Graduation Year
2016 (10 years ago)
PAC ID
7911218722
Group Practice PAC ID
4082528955
Professional Enrollment ID
I20160812001374
Address ID
AR729013892FO1301XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,506 FAMILY PRACTICE in AR

Provider Addresses for DR. JESSIELA VENIS ROBERTS (M.D.)

  • 612 S 12TH ST

    FORT SMITH, AR 729014702

    Phone: (479) 785-2431

    Fax: (479) 785-0732

    Type: Location

  • 1301 S E St

    Fort Smith, AR 729014716

    Phone: (479) 785-2431

    Fax: (479) 494-7787

    Type: Location

  • 1617 N Washington

    Magnolia, AR 717532046

    Phone: (870) 234-7676

    Fax: (870) 562-2559

    Type: Location

  • 410 W BRINKLEY LOOP

    APT. 2

    MARION, AR 723645033

    Phone: (914) 325-2103

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: Abbott Laboratories ($50).

Total Amount

$50

General + Research + Ownership

Payments

1

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$50
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160812001374IFamily PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6048$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5221$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th4916$0
36415Insertion of needle into vein for collection of blood sample4639$0
99498Advance care planning, each additional 30 minutes4516$0
View full utilization report →

Insurance plans in this area (ZIP 72901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082528955View full group profile
NameSpecialtyState
N E U R O L O G YAR
-AR
Internal MedicineNY
Internal Medicine, NephrologyAR
Diagnostic RadiologyAR
-AR
-AR
Nurse PractitionerAR
P S Y C H I A T R YAR
-AR

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JESSIELA VENIS ROBERTS (M.D.)'s NPI?
Yes. DR. JESSIELA VENIS ROBERTS (M.D.) is listed with NPI 1104168459 in the public NPI dataset.
Does CMS list DR. JESSIELA VENIS ROBERTS (M.D.) as active?
Yes — DR. JESSIELA VENIS ROBERTS (M.D.) is active in the NPI listing used on this page.
What healthcare role does DR. JESSIELA VENIS ROBERTS (M.D.) hold?
Scheduling teams often label DR. JESSIELA VENIS ROBERTS (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JESSIELA VENIS ROBERTS (M.D.) based?
DR. JESSIELA VENIS ROBERTS (M.D.) is tied to Fort Smith, Arkansas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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