KATRINA ROBERTSON (AGNP-C) – Nurse Practitioner, NPI 1932646965

KATRINA ROBERTSON (AGNP-C) is a healthcare provider. based in Walpole, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. RN285004 (MA). The NPI Number for KATRINA ROBERTSON (AGNP-C) is 1932646965

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
KATRINA ROBERTSON (AGNP-C)
NPI
1932646965
Phone
(404) 625-1103
Address
178 FISHER ST
Enumeration Date
29 January 2017
Last Update Date
30 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177548612
Graduation Year
2017 (9 years ago)
PAC ID
7113285628
Group Practice PAC ID
4486567104
Professional Enrollment ID
I20171211000705
Address ID
MA022155400BO330XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for KATRINA ROBERTSON (AGNP-C)

  • 178, Fisher Street, Plimptonville, Walpole, Norfolk County, Massachusetts, 02081-3712, United States

    NA

    WALPOLE, MA 020813927

    Phone: (404) 625-1103

    Type: Mailing

  • Beth Israel Deaconess Hospital–Needham, 148, Chestnut Street, Needham Junction, Needham, Norfolk County, Massachusetts, 02492, United States

    NEEDHAM, MA 024922505

    Phone: (781) 453-7607

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2023-04-26 • Largest payer in this snapshot: Medtronic, Inc. ($133).

Total Amount

$133

General + Research + Ownership

Payments

1

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$133
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: 2017-12-11

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
I20171211000705INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes14288$0
20553Injection of trigger points, 3 or more muscles5618$0
99205New patient office or other outpatient visit, 60-74 minutes5353$0
View full utilization report →

Insurance plans in this area (ZIP 02081)

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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: 4486567104View full group profile

Reviews

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Frequently asked questions

What NPI should I save for KATRINA ROBERTSON (AGNP-C)?
Save NPI 1932646965 if you need a stable reference for KATRINA ROBERTSON (AGNP-C).
Is KATRINA ROBERTSON (AGNP-C) active in the national directory?
KATRINA ROBERTSON (AGNP-C)'s public NPI profile is in an active state.
What field does KATRINA ROBERTSON (AGNP-C) work in?
You can think of KATRINA ROBERTSON (AGNP-C) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for KATRINA ROBERTSON (AGNP-C)?
We surface Walpole, Massachusetts for KATRINA ROBERTSON (AGNP-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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