KAYLA EMELY ROBERTS – Social Worker, NPI 1073196200

KAYLA EMELY ROBERTS is a healthcare provider. based in Coldwater, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 6801116491 (MI). The NPI Number for KAYLA EMELY ROBERTS is 1073196200

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KAYLA EMELY ROBERTS
NPI
1073196200
Phone
(517) 278-2129
Address
200 VISTA DR
Enumeration Date
5 May 2021
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172782129
Graduation Year
2020 (6 years ago)
PAC ID
7113384447
Group Practice PAC ID
4789612714
Professional Enrollment ID
I20230601001047
Address ID
MI490361776CO200XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for KAYLA EMELY ROBERTS

  • 200 VISTA DR

    COLDWATER, MI 490361776

    Phone: (517) 278-2129

    Type: Location

  • 677 E MAIN ST

    CENTREVILLE, MI 490328524

    Phone: (269) 467-1000

    Type: Location

  • 357 S MATTESON ST

    BRONSON, MI 490281512

    Phone: (517) 617-5151

    Type: Mailing

  • 28 W Chicago St Ste 3E

    Coldwater, MI 490361678

    Phone: (517) 617-5151

    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: 2023-06-01

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
I20230601001047IClinical Social WorkerMITBD

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 49036)

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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: 4789612714View full group profile
NameSpecialtyState
P S Y C H I A T R YMI
P S Y C H I A T R YWV
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Nurse PractitionerMI
P S Y C H I A T R YMI
P S Y C H I A T R YMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

Can I verify KAYLA EMELY ROBERTS with an NPI only?
You can start verification with NPI 1073196200 for KAYLA EMELY ROBERTS, then check state licensing separately.
Does the file indicate KAYLA EMELY ROBERTS is practicing under active NPI?
Directory data currently reports KAYLA EMELY ROBERTS as active.
What taxonomy line describes KAYLA EMELY ROBERTS?
For research purposes, treat KAYLA EMELY ROBERTS as Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What area does KAYLA EMELY ROBERTS serve?
KAYLA EMELY ROBERTS's listing highlights Coldwater, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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