L MICHELLE ROBERTSON (PA) – Physician Assistant, NPI 1912908500

L MICHELLE ROBERTSON (PA) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1344 (OK). The NPI Number for L MICHELLE ROBERTSON (PA) is 1912908500

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
L MICHELLE ROBERTSON (PA)
NPI
1912908500
Phone
(918) 494-9300
Address
6475 S YALE AVE
Enumeration Date
3 August 2005
Last Update Date
25 February 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182529300
Graduation Year
2002 (24 years ago)
PAC ID
5991787665
Group Practice PAC ID
3375442692
Professional Enrollment ID
I20040605000089
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for L MICHELLE ROBERTSON (PA)

  • 6475, South Yale Avenue, Warrenton, Tulsa, Tulsa County, Oklahoma, 70136, United States

    STE. 301

    TULSA, OK 741367816

    Phone: (918) 494-9300

    Fax: (918) 494-9324

    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: 2004-06-05

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
I20040605000089IPhysician AssistantOKTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg29728$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11627$0
99213Established patient office or other outpatient visit, 20-29 minutes11278$0
96372Injection of drug or substance under skin or into muscle6837$0
87804Detection test by immunoassay with direct visual observation for influenza virus3615$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 3375442692View full group profile
NameSpecialtyState
Nurse PractitionerOK
Physician AssistantOK
-OK
Physician AssistantOK
-OK
Physician AssistantOK
Family Practice, Emergency MedicineOK
-OK
Physician AssistantOK
-OK

Reviews

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Frequently asked questions

Where can patients find L MICHELLE ROBERTSON (PA)'s NPI?
You can confirm L MICHELLE ROBERTSON (PA) with NPI 1912908500; it appears in the national provider directory.
Is L MICHELLE ROBERTSON (PA)'s NPI currently valid?
The extract we use shows L MICHELLE ROBERTSON (PA) as active.
What kind of provider is L MICHELLE ROBERTSON (PA)?
The page reflects Physician Assistant for L MICHELLE ROBERTSON (PA). Clinical services aligned with this taxonomy classification.
Where does public data place L MICHELLE ROBERTSON (PA)?
The snapshot lists Tulsa, Oklahoma for L MICHELLE ROBERTSON (PA); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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