STEPHANIE ROBERTS (PA) – Medical Physician Assistant, NPI 1144393257

STEPHANIE ROBERTS (PA) is a healthcare provider. based in Shoshone, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA637 (ID). The NPI Number for STEPHANIE ROBERTS (PA) is 1144393257

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE ROBERTS (PA)
NPI
1144393257
Phone
(208) 886-2224
Address
113 S APPLE ST
Enumeration Date
16 November 2006
Last Update Date
13 March 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2088862381
Graduation Year
2006 (20 years ago)
PAC ID
9032212626
Group Practice PAC ID
7012815038
Professional Enrollment ID
I20070320000514
Address ID
ID833525338SH61XXX24XX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,546 PHYSICIAN ASSISTANT in ID

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Provider Addresses for STEPHANIE ROBERTS (PA)

  • 113, South Apple Street, Shoshone, Lincoln County, Idaho, 83352, United States

    SHOSHONE, ID 833525287

    Phone: (208) 886-2224

    Type: Location

  • PO BOX 609

    SHOSHONE, ID 833520609

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $447.

Total Amount is formed as General ($447) + Research ($0) + Ownership ($0) = $447.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($73).

Total Amount

$447

General + Research + Ownership

Payments

22

Total payment records

General Amount

$447

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2007-03-20

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
I20070320000514IPhysician AssistantIDTBD

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
83036Hemoglobin a1c level6730$0
81003Automated urinalysis test2014$0
82044Urine microalbumin (protein) analysis1616$0
G0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous1313$0
View full utilization report →

Insurance plans in this area (ZIP 83352)

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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: 7012815038View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalID
Family PracticeID
Physician AssistantID
Physician AssistantID
-ID
-ID
Nurse PractitionerWA
Physician AssistantID
Registered Dietitian Or Nutrition ProfessionalID
Clinical Social WorkerID

Reviews

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Frequently asked questions

Where can patients find STEPHANIE ROBERTS (PA)'s NPI?
You can confirm STEPHANIE ROBERTS (PA) with NPI 1144393257; it appears in the national provider directory.
Is STEPHANIE ROBERTS (PA) currently active in the NPI registry?
CMS-published data lists STEPHANIE ROBERTS (PA) as an active registrant.
What kind of provider is STEPHANIE ROBERTS (PA)?
The page reflects Medical Physician Assistant for STEPHANIE ROBERTS (PA). Clinical services aligned with this taxonomy classification.
What location shows for STEPHANIE ROBERTS (PA)?
We surface Shoshone, Idaho for STEPHANIE ROBERTS (PA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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