ELLI ROBERTS (PA-C) – Medical Physician Assistant, NPI 1578953162

ELLI ROBERTS (PA-C) is a healthcare provider. based in Shawnee mission, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 15-01778 (KS). The NPI Number for ELLI ROBERTS (PA-C) is 1578953162

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
ELLI ROBERTS (PA-C)
NPI
1578953162
Phone
(913) 632-2900
Address
7450 KESSLER ST STE 300
Enumeration Date
3 February 2015
Last Update Date
15 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9136329100
Graduation Year
2014 (12 years ago)
PAC ID
6204152986
Group Practice PAC ID
9537119037
Professional Enrollment ID
I20150225000660
Address ID
KS662042217ME9301XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for ELLI ROBERTS (PA-C)

  • 7450 KESSLER ST STE 300

    SHAWNEE MISSION, KS 662042550

    Phone: (913) 632-2900

    Fax: (913) 632-2999

    Type: Location

  • 9119 W 74TH ST

    SUITE 150

    SHAWNEE MISSION, KS 662042215

    Phone:

    Type: Mailing

  • 9119 W 74th St

    Suite 150

    Shawnee Mission, KS 662042215

    Phone: (913) 789-1986

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 250 Open Payments records for all available years, with a total value of $4,873.

Total Amount is formed as General ($4,873) + Research ($0) + Ownership ($0) = $4,873.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($942).

Total Amount

$4,873

General + Research + Ownership

Payments

250

Total payment records

General Amount

$4,873

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2015-02-25

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
I20150225000660IPhysician AssistantKSTBD

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
J0897Injection, denosumab, 1 mg3,30050$0
99214Established patient office or other outpatient visit, 30-39 minutes248177$0
83036Hemoglobin a1c level151112$0
82962Blood glucose (sugar) test performed by hand-held instrument12396$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report7342$0
View full utilization report →

Insurance plans in this area (ZIP 66204)

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Provider's Procedures

ELLI ROBERTS (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTKS81002Urinalysis, manual test1716

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: 9537119037View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)KS
Family PracticeNC
Nurse PractitionerKS
-KS
Physician AssistantKS
Nurse PractitionerKS
-KS
Internal MedicineKS
Nurse PractitionerKS
Cardiovascular Disease (Cardiology)KS

Reviews

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Frequently asked questions

What NPI should I save for ELLI ROBERTS (PA-C)?
Save NPI 1578953162 if you need a stable reference for ELLI ROBERTS (PA-C).
Is ELLI ROBERTS (PA-C) currently active in the NPI registry?
CMS-published data lists ELLI ROBERTS (PA-C) as an active registrant.
What does ELLI ROBERTS (PA-C) treat or focus on?
Patients typically see ELLI ROBERTS (PA-C) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for ELLI ROBERTS (PA-C)?
We surface Shawnee Mission, Kansas for ELLI ROBERTS (PA-C) based on available NPPES addresses.
What if Shawnee Mission, Kansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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