MRS. AMBER NACOLE ROBERTS (APRN) – Nurse Practitioner, NPI 1003781766

MRS. AMBER NACOLE ROBERTS (APRN) is a healthcare provider. based in Edna, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 84802 (KS). The NPI Number for MRS. AMBER NACOLE ROBERTS (APRN) is 1003781766

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MRS. AMBER NACOLE ROBERTS (APRN)
NPI
1003781766
Phone
(620) 252-8454
Address
PO BOX 7
Enumeration Date
10 October 2025
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187443131
Graduation Year
2025 (1 year ago)
PAC ID
9032690102
Group Practice PAC ID
9931562956
Professional Enrollment ID
I20260226001118
Address ID
OK741046520TU1923XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MRS. AMBER NACOLE ROBERTS (APRN)

  • PO BOX 7

    EDNA, KS 673420007

    Phone: (620) 252-8454

    Type: Mailing

  • 3500 E FRANK PHILLIPS BLVD

    BARTLESVILLE, OK 740062411

    Phone: (918) 333-7200

    Type: Location

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: 2026-02-26

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
I20260226001118INurse PractitionerOKTBD

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 67342)

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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: 9931562956View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OK
Emergency MedicineOK
Family PracticePA
Nurse PractitionerOK
Internal MedicineNY
Family PracticeOK
Physician AssistantOK
Internal MedicineOK
Internal MedicineOK
Hospitalist, Internal MedicineOK

Reviews

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Frequently asked questions

Does MRS. AMBER NACOLE ROBERTS (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. AMBER NACOLE ROBERTS (APRN) uses 1003781766.
Is MRS. AMBER NACOLE ROBERTS (APRN) still practicing?
MRS. AMBER NACOLE ROBERTS (APRN) is currently listed as active in the public NPI registry.
What taxonomy line describes MRS. AMBER NACOLE ROBERTS (APRN)?
For research purposes, treat MRS. AMBER NACOLE ROBERTS (APRN) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. AMBER NACOLE ROBERTS (APRN) on a map?
Expect Edna, Kansas as a primary anchor for MRS. AMBER NACOLE ROBERTS (APRN) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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