WILLIAM ROBERTS (MSN, AGPCNP-BC) – Primary Care Nurse Practitioner, NPI 1043602675

WILLIAM ROBERTS (MSN, AGPCNP-BC) is a healthcare provider. based in Cleveland, Ohio. specializing in Primary Care Nurse Practitioner. They hold the professional credentials MSN, AGPCNP-BC. They hold a License No. COA.16636-NP (OH). The NPI Number for WILLIAM ROBERTS (MSN, AGPCNP-BC) is 1043602675

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM ROBERTS (MSN, AGPCNP-BC)
NPI
1043602675
Phone
(216) 476-7000
Address
18101 LORAIN AVE
Enumeration Date
18 February 2015
Last Update Date
18 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2169411044
Graduation Year
2014 (12 years ago)
PAC ID
7618295833
Group Practice PAC ID
4688571730
Professional Enrollment ID
I20150417001028
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for WILLIAM ROBERTS (MSN, AGPCNP-BC)

  • 18101 LORAIN AVE

    CLEVELAND, OH 441115612

    Phone: (216) 476-7000

    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: 2015-04-17

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
I20150417001028INurse PractitionerOHTBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes119117$0
View full utilization report →

Insurance plans in this area (ZIP 44111)

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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: 4688571730View full group profile
NameSpecialtyState
-OH
Nurse PractitionerOH
Hospitalist, Internal MedicineOH
Nurse PractitionerOH
-OH
-OH
Nurse PractitionerOH
Physician AssistantOH
Physician AssistantOH
Physician AssistantOH

Reviews

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Frequently asked questions

What number should I use to identify WILLIAM ROBERTS (MSN, AGPCNP-BC) for billing?
Administrative and clinical systems typically use NPI 1043602675 for WILLIAM ROBERTS (MSN, AGPCNP-BC).
Quick check: is WILLIAM ROBERTS (MSN, AGPCNP-BC) active?
Public NPPES data shows WILLIAM ROBERTS (MSN, AGPCNP-BC) with an active NPI status right now.
What does the directory say WILLIAM ROBERTS (MSN, AGPCNP-BC) does?
Insurance directories may phrase it differently, but here WILLIAM ROBERTS (MSN, AGPCNP-BC) maps to Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to WILLIAM ROBERTS (MSN, AGPCNP-BC)?
WILLIAM ROBERTS (MSN, AGPCNP-BC) shows a connection to Cleveland, Ohio in registry-derived data.
Why is information missing for WILLIAM ROBERTS (MSN, AGPCNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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