KATHERINE ANTOINETTE ROBERTSON (CNP) – Gerontology Nurse Practitioner, NPI 1407203425

KATHERINE ANTOINETTE ROBERTSON (CNP) is a healthcare provider. based in Texarkana, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. AP131089 (TX). The NPI Number for KATHERINE ANTOINETTE ROBERTSON (CNP) is 1407203425

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE ANTOINETTE ROBERTSON (CNP)
NPI
1407203425
Phone
(903) 949-7675
Address
3801 WATER OAK DR
Enumeration Date
19 May 2016
Last Update Date
4 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036143200
Graduation Year
2015 (11 years ago)
PAC ID
3274824347
Group Practice PAC ID
1355249541
Professional Enrollment ID
I20201104002210
Address ID
TX755032125TE2931XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for KATHERINE ANTOINETTE ROBERTSON (CNP)

  • 3801, Water Oak Drive, Texarkana, Miller County, Arkansas, 71854, United States

    TEXARKANA, AR 718548246

    Phone: (903) 949-7675

    Type: Mailing

  • 5002 COWHORN CREEK RD

    TEXARKANA, TX 755039766

    Phone: (903) 614-3000

    Fax: (903) 614-3525

    Type: Mailing

  • Trinity Boulevard, Texarkana, Miller County, Arkansas, 71854, United States

    TEXARKANA, AR 718548310

    Phone: (870) 773-6467

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 96 Open Payments records for all available years, with a total value of $1,801.

Total Amount is formed as General ($1,801) + Research ($0) + Ownership ($0) = $1,801.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($238).

Total Amount

$1,801

General + Research + Ownership

Payments

96

Total payment records

General Amount

$1,801

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160621000084INurse PractitionerARTBD
I20201104002210INurse PractitionerTXTBD

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
J0897Injection, denosumab, 1 mg2,52029$0
99214Established patient office or other outpatient visit, 30-39 minutes723241$0
36415Insertion of needle into vein for collection of blood sample561207$0
96372Injection of drug or substance under skin or into muscle16966$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9898$0
View full utilization report →

Insurance plans in this area (ZIP 71854)

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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: 1355249541View full group profile

Reviews

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Frequently asked questions

How is KATHERINE ANTOINETTE ROBERTSON (CNP) identified in CMS data?
CMS-hosted NPPES data lists KATHERINE ANTOINETTE ROBERTSON (CNP) with NPI 1407203425.
Does the file indicate KATHERINE ANTOINETTE ROBERTSON (CNP) is practicing under active NPI?
Directory data currently reports KATHERINE ANTOINETTE ROBERTSON (CNP) as active.
What is KATHERINE ANTOINETTE ROBERTSON (CNP) best known for clinically?
Directory data describes KATHERINE ANTOINETTE ROBERTSON (CNP) with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KATHERINE ANTOINETTE ROBERTSON (CNP) list a practice location?
Patients near Texarkana, Arkansas may find KATHERINE ANTOINETTE ROBERTSON (CNP) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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