DR. THERESA ROBERTS (DNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1528761921

DR. THERESA ROBERTS (DNP, PMHNP-BC) is a healthcare provider. based in Medina, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, PMHNP-BC. They hold a License No. APRN.CNP.0032961 (OH). The NPI Number for DR. THERESA ROBERTS (DNP, PMHNP-BC) is 1528761921

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. THERESA ROBERTS (DNP, PMHNP-BC)
NPI
1528761921
Phone
(440) 829-9314
Address
246 NORTHLAND DR STE 200A
Enumeration Date
24 March 2023
Last Update Date
3 April 2023

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
3307259195
Graduation Year
2022 (4 years ago)
PAC ID
2466809843
Group Practice PAC ID
4385632983
Professional Enrollment ID
I20231107000427
Address ID
OH442563440ME246XXDRXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for DR. THERESA ROBERTS (DNP, PMHNP-BC)

  • 246 NORTHLAND DR STE 200A

    MEDINA, OH 442563440

    Phone: (440) 829-9314

    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)

CMS reports 86 Open Payments records for all available years, with a total value of $1,568.

Total Amount is formed as General ($1,568) + Research ($0) + Ownership ($0) = $1,568.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($273).

Total Amount

$1,568

General + Research + Ownership

Payments

86

Total payment records

General Amount

$1,568

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

Top Companies

Largest payers in this snapshot

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: 2023-11-07

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
I20231107000427INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44256)

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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: 4385632983View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
Nurse PractitionerOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Nurse PractitionerOH
Mental Health CounselorOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. THERESA ROBERTS (DNP, PMHNP-BC)?
DR. THERESA ROBERTS (DNP, PMHNP-BC) — NPI 1528761921 — is the standard way to identify this listing.
Is DR. THERESA ROBERTS (DNP, PMHNP-BC) listed as active for patients and plans?
The listing shows DR. THERESA ROBERTS (DNP, PMHNP-BC) as active in the NPI system.
What is DR. THERESA ROBERTS (DNP, PMHNP-BC)'s specialty?
The listing groups DR. THERESA ROBERTS (DNP, PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is DR. THERESA ROBERTS (DNP, PMHNP-BC) based?
DR. THERESA ROBERTS (DNP, PMHNP-BC) is tied to Medina, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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