NATALIA MARISSA ROBERTS (FNP) – Nurse Practitioner, NPI 1255901799

NATALIA MARISSA ROBERTS (FNP) is a healthcare provider. based in San rafael, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 95209937 (CA). The NPI Number for NATALIA MARISSA ROBERTS (FNP) is 1255901799

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
NATALIA MARISSA ROBERTS (FNP)
NPI
1255901799
Phone
(415) 578-4983
Address
121 Paul Dr Ste A
Enumeration Date
28 June 2021
Last Update Date
29 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7076905332
Graduation Year
2020 (6 years ago)
PAC ID
7012307325
Group Practice PAC ID
0941630123
Professional Enrollment ID
I20211130002715
Address ID
CA954766519SO446XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for NATALIA MARISSA ROBERTS (FNP)

  • 121 Paul Dr Ste A

    San Rafael, CA 949032047

    Phone: (415) 578-4983

    Type: Location

  • 51 PELLERIA DR

    AMERICAN CANYON, CA 945031432

    Phone: (510) 861-9063

    Type: Mailing

  • 1151 PORTER ST APT A

    VALLEJO, CA 945907904

    Phone: (510) 861-9063

    Type: Mailing

  • 2720 LOW CT

    FAIRFIELD, CA 945349771

    Phone: (707) 427-4900

    Type: Location

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 $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Novo Nordisk Inc ($89).

Total Amount

$89

General + Research + Ownership

Payments

1

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$89
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: 2021-11-30

PECOS data refreshed: 2026-05-27

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
I20211130002715INurse PractitionerCATBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml9,942100$0
A9585Injection, gadobutrol, 0.1 ml1,91026$0
99214Established patient office or other outpatient visit, 30-39 minutes636372$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit140140$0
99213Established patient office or other outpatient visit, 20-29 minutes8980$0
View full utilization report →

Insurance plans in this area (ZIP 94903)

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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: 0941630123View full group profile
NameSpecialtyState
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantNC
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the standard ID for NATALIA MARISSA ROBERTS (FNP) in the U.S.?
In the U.S., NATALIA MARISSA ROBERTS (FNP) is identified by NPI 1255901799.
Is NATALIA MARISSA ROBERTS (FNP)'s NPI status active today?
Active status means NATALIA MARISSA ROBERTS (FNP)'s NPI record is not deactivated in the public file.
What type of care does NATALIA MARISSA ROBERTS (FNP) provide?
NATALIA MARISSA ROBERTS (FNP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to NATALIA MARISSA ROBERTS (FNP)?
The directory associates NATALIA MARISSA ROBERTS (FNP) with San Rafael, California. Check all listed addresses for suites or satellite offices.
Why is information missing for NATALIA MARISSA ROBERTS (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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