DIRK E ROBERTS (RNFA, FNP-C) – Family Nurse Practitioner, NPI 1083015382

DIRK E ROBERTS (RNFA, FNP-C) is a healthcare provider. based in Farmington, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials RNFA, FNP-C. They hold a License No. 2015025676 (MO). The NPI Number for DIRK E ROBERTS (RNFA, FNP-C) is 1083015382

Main info

Male
Sole Proprietor
11 Years Of Experience
Name
DIRK E ROBERTS (RNFA, FNP-C)
NPI
1083015382
Phone
(573) 756-7779
Address
606 MAPLE VALLEY DR
Enumeration Date
6 September 2014
Last Update Date
5 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3148462100
Graduation Year
2015 (11 years ago)
PAC ID
2466768825
Group Practice PAC ID
2466809645
Professional Enrollment ID
I20150831001242
Address ID
MO631293354SA4455XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for DIRK E ROBERTS (RNFA, FNP-C)

  • 606 MAPLE VALLEY DR

    FARMINGTON, MO 636401976

    Phone: (573) 756-7779

    Fax: (573) 756-6914

    Mailing address matches the actual address.

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: 2015-08-31

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
I20150831001242INurse PractitionerMOTBD

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 63640)

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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: 2466809645View full group profile
NameSpecialtyState
Nurse PractitionerMO

Reviews

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Frequently asked questions

What NPI should I save for DIRK E ROBERTS (RNFA, FNP-C)?
Save NPI 1083015382 if you need a stable reference for DIRK E ROBERTS (RNFA, FNP-C).
Does this profile mean DIRK E ROBERTS (RNFA, FNP-C) is currently active?
Yes — DIRK E ROBERTS (RNFA, FNP-C) appears active in the national provider directory.
What field does DIRK E ROBERTS (RNFA, FNP-C) work in?
You can think of DIRK E ROBERTS (RNFA, FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for DIRK E ROBERTS (RNFA, FNP-C)?
We surface Farmington, Missouri for DIRK E ROBERTS (RNFA, FNP-C) based on available NPPES addresses.
How can I contact DIRK E ROBERTS (RNFA, FNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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