ALYSSA ROBERTS – Nurse Practitioner, NPI 1265050355

ALYSSA ROBERTS is a healthcare provider. based in Woburn, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2317964 (MA). The NPI Number for ALYSSA ROBERTS is 1265050355

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA ROBERTS
NPI
1265050355
Phone
(781) 756-2308
Address
200 Unicorn Park Dr Ste 302
Enumeration Date
6 July 2020
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817448400
Graduation Year
2020 (6 years ago)
PAC ID
9739509969
Group Practice PAC ID
2365405024
Professional Enrollment ID
I20201008003218
Address ID
MA018050001BU41XXXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:5State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for ALYSSA ROBERTS

  • 200 Unicorn Park Dr Ste 302

    Woburn, MA 018013342

    Phone: (781) 756-2308

    Type: Location

  • 16 MIDDLE ST

    MERRIMAC, MA 018601939

    Phone: (978) 971-2170

    Type: Mailing

  • 51 BLOSSOM ST

    BOSTON, MA 021142601

    Phone: (617) 722-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $203.

Total Amount is formed as General ($203) + Research ($0) + Ownership ($0) = $203.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($126).

Total Amount

$203

General + Research + Ownership

Payments

6

Total payment records

General Amount

$203

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2020-10-08

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
I20201008003218INurse PractitionerMATBD

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 01801)

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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: 2365405024View full group profile
NameSpecialtyState
Infectious DiseaseMA
Internal MedicineMA
A N E S T H E S I O L O G YMA
-MA
Clinical Social WorkerMA
Interventional Cardiology, Cardiovascular Disease (Cardiology)MA
-MA
Nurse PractitionerMA
-MA
-MA

Reviews

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Frequently asked questions

How do I look up ALYSSA ROBERTS by NPI?
Use NPI 1265050355 when you need to reference ALYSSA ROBERTS in forms, claims, or directories.
Is ALYSSA ROBERTS currently active in the NPI registry?
CMS-published data lists ALYSSA ROBERTS as an active registrant.
What field does ALYSSA ROBERTS work in?
You can think of ALYSSA ROBERTS as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place ALYSSA ROBERTS?
The snapshot lists Woburn, Massachusetts for ALYSSA ROBERTS; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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