MARK ROBERTS – Psychiatric/Mental Health Nurse Practitioner, NPI 1588094825
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MARK ROBERTS
209 CARTERS GROVE RD
CENTERVILLE, OH 454592509
Phone:
Type: Mailing
1846 SPINDLETOP LN
DAYTON, OH 454586501
Phone: (937) 991-3188
Fax: (937) 223-9811
Type: Mailing
3170 KETTERING BLVD BLDG B3
MORAINE, OH 454391924
Phone: (937) 991-3188
Fax: (937) 223-9811
Type: Mailing
122 WYOMING ST
DAYTON, OH 454092731
Phone: (937) 223-4461
Fax: (937) 449-7603
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $621.
Total Amount is formed as General ($621) + Research ($0) + Ownership ($0) = $621.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($255).
Total Amount
$621
General + Research + Ownership
Payments
16
Total payment records
General Amount
$621
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $255 |
| ITI, Inc. | $128 |
| ABBVIE INC. | $70 |
| Otsuka America Pharmaceutical, Inc. | $57 |
| Neurocrine BioSciences Inc. | $27 |
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: 2021-01-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210128000595 | I | Nurse Practitioner | OH | TBD |
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.
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 45459)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | IN | |
| Nurse Practitioner | OH | |
| - | IL | |
| Nurse Practitioner | IL |
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