MS. CHARLEZETTA ROBERSON (PA) – Physician Assistant, NPI 1215128335

MS. CHARLEZETTA ROBERSON (PA) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 546 (NV). The NPI Number for MS. CHARLEZETTA ROBERSON (PA) is 1215128335

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHARLEZETTA ROBERSON (PA)
NPI
1215128335
Phone
(702) 871-3730
Address
3211 W CHARLESTON BLVD
Enumeration Date
5 August 2007
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7755050810
Graduation Year
1997 (29 years ago)
PAC ID
7618061920
Group Practice PAC ID
5991069643
Professional Enrollment ID
I20070918000225
Address ID
NV890480884PA360XXLNXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

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Provider Addresses for MS. CHARLEZETTA ROBERSON (PA)

  • 3211, West Charleston Boulevard, Las Vegas, Clark County, Nevada, 89102, United States

    LAS VEGAS, NV 891021953

    Phone: (702) 871-3730

    Fax: (702) 871-7379

    Type: Mailing

  • 360 S LOLA LN BLDG B

    PAHRUMP, NV 890480884

    Phone: (775) 505-0810

    Type: Location

  • 3325 RESEARCH WAY

    CARSON CITY, NV 897067913

    Phone: (702) 220-9902

    Type: Mailing

  • 1690 E AMARGOSA FARM RD

    AMARGOSA VALLEY, NV 890209735

    Phone: (775) 372-5432

    Fax: (775) 372-5432

    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 $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($33).

Total Amount

$97

General + Research + Ownership

Payments

6

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2007-09-18

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
I20070918000225IPhysician AssistantNVTBD

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 minutes214190$0
99213Established patient office or other outpatient visit, 20-29 minutes147132$0
99203New patient office or other outpatient visit, 30-44 minutes103103$0
99204New patient office or other outpatient visit, 45-59 minutes9494$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza5251$0
View full utilization report →

Insurance plans in this area (ZIP 89102)

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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: 5991069643View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerOR
Geriatric MedicineAZ
Family PracticeOR
-NV
Family PracticeNV
-NV
Nurse PractitionerNV
Family PracticeNV

Reviews

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Frequently asked questions

What federal number belongs to MS. CHARLEZETTA ROBERSON (PA)?
The federal identifier for MS. CHARLEZETTA ROBERSON (PA) is NPI 1215128335.
Is MS. CHARLEZETTA ROBERSON (PA) currently active in the NPI registry?
CMS-published data lists MS. CHARLEZETTA ROBERSON (PA) as an active registrant.
What does MS. CHARLEZETTA ROBERSON (PA) treat or focus on?
Patients typically see MS. CHARLEZETTA ROBERSON (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MS. CHARLEZETTA ROBERSON (PA)?
We surface Las Vegas, Nevada for MS. CHARLEZETTA ROBERSON (PA) based on available NPPES addresses.
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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