NICOLE MICHELLE ROBERTS (PA-C) – Physician Assistant, NPI 1811283153
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for NICOLE MICHELLE ROBERTS (PA-C)
1991 SPROUL RD
SUITE 625
BROOMALL, PA 190083512
Phone: (484) 421-1669
Fax: (484) 565-8556
Type: Mailing
1625 OREGON PIKE
LANCASTER, PA 176014335
Phone: (717) 925-2995
Type: Location
1991 Sproul Rd
Suite 625
Broomall, PA 190083512
Phone: (484) 421-1669
Fax: (484) 565-8556
Type: Location
5000 COX RD
GLEN ALLEN, VA 230609263
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $473.
Total Amount is formed as General ($473) + Research ($0) + Ownership ($0) = $473.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Abbott Laboratories ($360).
Total Amount
$473
General + Research + Ownership
Payments
12
Total payment records
General Amount
$473
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $360 |
| Novo Nordisk Inc | $113 |
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: 2015-10-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151005003079 | I | Physician Assistant | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 30 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 17 | $0 |
| 71046 | X-ray of chest, 2 views | 12 | 12 | $0 |
Insurance plans in this area (ZIP 19008)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Physician Assistant | NJ | |
| Physician Assistant | VA | |
| - | GA | |
| - | VA | |
| Family Practice | MD | |
| Physician Assistant | NJ | |
| Physician Assistant | VA | |
| Physician Assistant | PA | |
| - | PA |
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