MRS. SAMANTHA GAIL ROBERTS (APRN) – Family Nurse Practitioner, NPI 1467920082

MRS. SAMANTHA GAIL ROBERTS (APRN) is a healthcare provider. based in Jackson, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3012506 (KY). The NPI Number for MRS. SAMANTHA GAIL ROBERTS (APRN) is 1467920082

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SAMANTHA GAIL ROBERTS (APRN)
NPI
1467920082
Phone
(606) 666-5860
Address
6947 HIGHWAY 541
Enumeration Date
13 November 2018
Last Update Date
13 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6066683120
Graduation Year
2018 (8 years ago)
PAC ID
9830434307
Group Practice PAC ID
2668457094
Professional Enrollment ID
I20190103000514
Address ID
KY413018988CA219XXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MRS. SAMANTHA GAIL ROBERTS (APRN)

  • 6947 HIGHWAY 541

    JACKSON, KY 413397250

    Phone: (606) 666-5860

    Type: Mailing

  • 219 MOUNTAIN PARKWAY SPUR RD

    CAMPTON, KY 413018988

    Phone: (606) 668-6932

    Fax: (606) 668-3125

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $637.

Total Amount is formed as General ($637) + Research ($0) + Ownership ($0) = $637.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($278).

Total Amount

$637

General + Research + Ownership

Payments

36

Total payment records

General Amount

$637

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2019-01-03

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
I20190103000514INurse PractitionerKYTBD

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
81002Urinalysis, manual test2419$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing2317$0
71046X-ray of chest, 2 views2117$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1412$0
View full utilization report →

Insurance plans in this area (ZIP 41339)

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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: 2668457094View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Physician AssistantKY
P S Y C H I A T R YKY
Clinical Social WorkerKY
Nurse PractitionerKY
Internal Medicine, Pediatric MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
Physician AssistantKY

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. SAMANTHA GAIL ROBERTS (APRN)?
NPI 1467920082 is assigned to MRS. SAMANTHA GAIL ROBERTS (APRN) under the national enumeration system.
Is MRS. SAMANTHA GAIL ROBERTS (APRN) currently active in the NPI registry?
CMS-published data lists MRS. SAMANTHA GAIL ROBERTS (APRN) as an active registrant.
What field does MRS. SAMANTHA GAIL ROBERTS (APRN) work in?
You can think of MRS. SAMANTHA GAIL ROBERTS (APRN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. SAMANTHA GAIL ROBERTS (APRN) practice in Kentucky?
You will see Jackson, Kentucky on file for MRS. SAMANTHA GAIL ROBERTS (APRN) alongside any extra practice locations.
What if Jackson, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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