DR. KATHLEEN ANNE ROBERTS (DNP) – Family Nurse Practitioner, NPI 1053307090
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. KATHLEEN ANNE ROBERTS (DNP)
Memphis Post Office, Mill Lane, Memphis, Clark County, Indiana, 47143, United States
DEPT 960
MEMPHIS, TN 381480960
Phone: (901) 763-0200
Fax: (901) 260-1704
Type: Mailing
Sutherland Cardiology Clinic, 7460, Wolf River Boulevard, Germantown, Shelby County, Tennessee, 38138, United States
GERMANTOWN, TN 381381760
Phone: (901) 763-0200
Fax: (901) 761-4002
Type: Location
6025 STAGE RD STE 42-415
BARTLETT, TN 381348374
Phone: (901) 498-0054
Fax: (888) 419-2656
Type: Mailing
2725 SW CEDAR HILLS BLVD STE 200
BEAVERTON, OR 970051435
Phone: (503) 352-6000
Fax: (503) 352-6081
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 $378.
Total Amount is formed as General ($378) + Research ($0) + Ownership ($0) = $378.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Novo Nordisk Inc ($153).
Total Amount
$378
General + Research + Ownership
Payments
16
Total payment records
General Amount
$378
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $153 |
| ABBVIE INC. | $99 |
| Gilead Sciences, Inc. | $67 |
| Mylan Specialty L.P. | $59 |
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: 2023-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180521003008 | I | Nurse Practitioner | WA | TBD |
| I20230109000490 | I | Nurse Practitioner | OR | 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 38148)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Physician Assistant | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA |
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