DR. MANDY DEANN ROBERTSON (MD) – Medical Oncology Physician, NPI 1790730174

DR. MANDY DEANN ROBERTSON (MD) is a healthcare provider. based in Chico, California. specializing in MEDICAL ONCOLOGY, HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD00040630 (WA). The NPI Number for DR. MANDY DEANN ROBERTSON (MD) is 1790730174

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANDY DEANN ROBERTSON (MD)
NPI
1790730174
Phone
(530) 332-3808
Address
265 Cohasset Rd
Enumeration Date
23 May 2006
Last Update Date
3 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
5597863571
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20080207000618
Address ID
WA983351706GI4700XDRXX400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

550 MEDICAL ONCOLOGY in CA

Provider Addresses for DR. MANDY DEANN ROBERTSON (MD)

  • 265 Cohasset Rd

    Chico, CA 959262273

    Phone: (530) 332-3808

    Fax: (530) 893-6907

    Type: Location

  • 57 PUGET DR

    STEILACOOM, WA 983881526

    Phone: (509) 293-3259

    Type: Mailing

  • Chico Post Office, 550, Vallombrosa Avenue, Chico, Butte County, California, 95926, United States

    CHICO, CA 959277555

    Phone: (530) 898-8088

    Fax: (530) 898-8087

    Type: Mailing

  • Cohasset Road, Chico, Butte County, California, 95973, United States

    CHICO, CA 959262273

    Phone: (530) 332-3808

    Fax: (530) 893-6907

    Type: Location

  • 700 LILLY RD NE

    OLYMPIA, WA 985065115

    Phone: (360) 923-7000

    Fax: (360) 923-7089

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 100 Open Payments records for all available years, with a total value of $2,478.

Total Amount is formed as General ($2,478) + Research ($0) + Ownership ($0) = $2,478.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($287).

Total Amount

$2,478

General + Research + Ownership

Payments

100

Total payment records

General Amount

$2,478

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2024-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20080207000618IHematology/OncologyWATBD
I20160629002048IHematology/OncologyCATBD
I20241003000366IMedical OncologyORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95926)

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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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MANDY DEANN ROBERTSON (MD)'s NPI?
Yes. DR. MANDY DEANN ROBERTSON (MD) is listed with NPI 1790730174 in the public NPI dataset.
Is DR. MANDY DEANN ROBERTSON (MD) still practicing?
DR. MANDY DEANN ROBERTSON (MD) is currently listed as active in the public NPI registry.
What is DR. MANDY DEANN ROBERTSON (MD) best known for clinically?
Directory data describes DR. MANDY DEANN ROBERTSON (MD) with Medical Oncology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MANDY DEANN ROBERTSON (MD)?
DR. MANDY DEANN ROBERTSON (MD)'s geographic hint is Chico, California in our summary view.
Is the information about DR. MANDY DEANN ROBERTSON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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