TERRA ROBERTSON (NP) – Family Nurse Practitioner, NPI 1417649633

TERRA ROBERTSON (NP) is a healthcare provider. based in Jeffersonville, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 28217030A (IN). The NPI Number for TERRA ROBERTSON (NP) is 1417649633

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
TERRA ROBERTSON (NP)
NPI
1417649633
Phone
(812) 288-4304
Address
1302 Wall St
Enumeration Date
25 May 2023
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8129455233
Graduation Year
2022 (4 years ago)
PAC ID
2466806773
Group Practice PAC ID
9739106485
Professional Enrollment ID
I20230920001941
Address ID
IN471506807NE1919XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for TERRA ROBERTSON (NP)

  • 1302 Wall St

    Jeffersonville, IN 471303885

    Phone: (812) 288-4304

    Type: Location

  • 1302 WALL ST

    JEFFERSONVILLE, IN 471303885

    Phone: (812) 288-4304

    Type: Mailing

  • 1919 STATE ST STE 340

    NEW ALBANY, IN 471506807

    Phone: (812) 945-5233

    Fax: (812) 945-2804

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $436.

Total Amount is formed as General ($436) + Research ($0) + Ownership ($0) = $436.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($122).

Total Amount

$436

General + Research + Ownership

Payments

17

Total payment records

General Amount

$436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

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: 2023-09-20

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
I20230920001941INurse PractitionerINTBD

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 47130)

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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: 9739106485View full group profile
NameSpecialtyState
-IN
O B S T E T R I C S/ G Y N E C O L O G YIN
O B S T E T R I C S/ G Y N E C O L O G YIN
Nurse PractitionerIN
-IN
O B S T E T R I C S/ G Y N E C O L O G YIN
Nurse PractitionerIN
O B S T E T R I C S/ G Y N E C O L O G YIN
O B S T E T R I C S/ G Y N E C O L O G YIN
O B S T E T R I C S/ G Y N E C O L O G YIN

Reviews

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Frequently asked questions

Can I cross-check TERRA ROBERTSON (NP) using NPI 1417649633?
NPI 1417649633 belongs to TERRA ROBERTSON (NP); compare other details if you need extra assurance.
Is TERRA ROBERTSON (NP) shown as active in public data?
Registry records indicate TERRA ROBERTSON (NP) maintains an active NPI.
What kind of doctor is TERRA ROBERTSON (NP)?
TERRA ROBERTSON (NP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for TERRA ROBERTSON (NP)?
Travel planning: use Jeffersonville, Indiana as the reference point for TERRA ROBERTSON (NP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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