FAWN J ROBERTS (ARNP) – Family Nurse Practitioner, NPI 1104457027

FAWN J ROBERTS (ARNP) is a healthcare provider. based in Belmond, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. A157630 (IA). The NPI Number for FAWN J ROBERTS (ARNP) is 1104457027

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
FAWN J ROBERTS (ARNP)
NPI
1104457027
Phone
(641) 444-3500
Address
403 1ST ST SE
Enumeration Date
29 January 2020
Last Update Date
29 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5155322838
Graduation Year
2019 (7 years ago)
PAC ID
3678901725
Group Practice PAC ID
3375451347
Professional Enrollment ID
I20200324000836
Address ID
IA505252078CL215XXSWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for FAWN J ROBERTS (ARNP)

  • 403 1ST ST SE

    BELMOND, IA 504211201

    Phone: (641) 444-3500

    Fax: (641) 444-5688

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-03-24

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
I20200324000836INurse PractitionerIATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3929$0
99214Established patient office or other outpatient visit, 30-39 minutes2415$0
View full utilization report →

Insurance plans in this area (ZIP 50421)

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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: 3375451347View full group profile
NameSpecialtyState
P O D I A T R YIA
-IA
Internal Medicine, Critical Care (Intensivists), Geriatric MedicineIA
Certified Registered Nurse Anesthetist (Crna)PA
Physician AssistantIA
Pain Management, AnesthesiologyIA
-NC
Physician AssistantIA
O B S T E T R I C S/ G Y N E C O L O G YIA
Orthopedic SurgeryIA

Reviews

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Frequently asked questions

Where can patients find FAWN J ROBERTS (ARNP)'s NPI?
You can confirm FAWN J ROBERTS (ARNP) with NPI 1104457027; it appears in the national provider directory.
Is FAWN J ROBERTS (ARNP) active in the national directory?
FAWN J ROBERTS (ARNP)'s public NPI profile is in an active state.
Does FAWN J ROBERTS (ARNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for FAWN J ROBERTS (ARNP). Clinical services aligned with this taxonomy classification.
Does FAWN J ROBERTS (ARNP) practice in Iowa?
You will see Belmond, Iowa on file for FAWN J ROBERTS (ARNP) alongside any extra practice locations.
Is FAWN J ROBERTS (ARNP) a real provider?
This page reflects official NPPES data for NPI 1104457027. Always confirm identity and privileges with the practice and licensing boards.

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