MRS. COURTNEY MICHELLE ROBERTS (FNP-C) – Family Nurse Practitioner, NPI 1235891789

MRS. COURTNEY MICHELLE ROBERTS (FNP-C) is a healthcare provider. based in Grain valley, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 81082 (KS). The NPI Number for MRS. COURTNEY MICHELLE ROBERTS (FNP-C) is 1235891789

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. COURTNEY MICHELLE ROBERTS (FNP-C)
NPI
1235891789
Phone
Not provided
Address
642 SW CRESTVIEW DR
Enumeration Date
12 October 2021
Last Update Date
6 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9132155008
Graduation Year
2021 (5 years ago)
PAC ID
5890185110
Group Practice PAC ID
4789716531
Professional Enrollment ID
I20211201000127
Address ID
MO640812116LE400XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MRS. COURTNEY MICHELLE ROBERTS (FNP-C)

  • 642 SW CRESTVIEW DR

    GRAIN VALLEY, MO 640295000

    Phone:

    Type: Mailing

  • 19600 E 39TH ST S

    INDEPENDENCE, MO 640572301

    Phone: (913) 222-9779

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 72 Open Payments records for all available years, with a total value of $2,491.

Total Amount is formed as General ($2,491) + Research ($0) + Ownership ($0) = $2,491.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($725).

Total Amount

$2,491

General + Research + Ownership

Payments

72

Total payment records

General Amount

$2,491

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2024-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20211201000127INurse PractitionerMOTBD
I20240430002765INurse PractitionerKSTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes357136$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes274139$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes19465$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes9659$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes7443$0
View full utilization report →

Insurance plans in this area (ZIP 64029)

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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: 4789716531View full group profile

Reviews

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Frequently asked questions

Can I cross-check MRS. COURTNEY MICHELLE ROBERTS (FNP-C) using NPI 1235891789?
NPI 1235891789 belongs to MRS. COURTNEY MICHELLE ROBERTS (FNP-C); compare other details if you need extra assurance.
Is MRS. COURTNEY MICHELLE ROBERTS (FNP-C) still an active registrant?
MRS. COURTNEY MICHELLE ROBERTS (FNP-C) carries an active NPI according to the public dataset.
What area of care is associated with MRS. COURTNEY MICHELLE ROBERTS (FNP-C)?
MRS. COURTNEY MICHELLE ROBERTS (FNP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. COURTNEY MICHELLE ROBERTS (FNP-C)?
Travel planning: use Grain Valley, Missouri as the reference point for MRS. COURTNEY MICHELLE ROBERTS (FNP-C), then confirm.
Can I trust this NPI listing for MRS. COURTNEY MICHELLE ROBERTS (FNP-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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