BETHANY KATE ROBERTSON (PA-C) – Physician Assistant, NPI 1356827430

BETHANY KATE ROBERTSON (PA-C) is a healthcare provider. based in Rowlett, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA12087 (TX). The NPI Number for BETHANY KATE ROBERTSON (PA-C) is 1356827430

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY KATE ROBERTSON (PA-C)
NPI
1356827430
Phone
(214) 738-9394
Address
4504 SOUTHRIDGE DR
Enumeration Date
12 July 2018
Last Update Date
12 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2018 (8 years ago)
PAC ID
5597018010
Group Practice PAC ID
7719137397
Professional Enrollment ID
I20181031001617
Address ID
TX750758010PL3325XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for BETHANY KATE ROBERTSON (PA-C)

  • Southridge Drive, Rowlett, Dallas County, Texas, 75088, United States

    ROWLETT, TX 750885083

    Phone: (214) 738-9394

    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 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: ABBVIE INC. ($42).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$42
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: 2018-10-31

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
I20181031001617IPhysician AssistantTXTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,908238$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes161115$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes8323$0
View full utilization report →

Insurance plans in this area (ZIP 75088)

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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: 7719137397View full group profile
NameSpecialtyState
-TX
Internal MedicineTX
Internal MedicineTX
Nurse PractitionerTX
Physician AssistantTX
Internal MedicineTX
Internal MedicineMD
Nurse PractitionerTX
Internal Medicine, Geriatric MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows BETHANY KATE ROBERTSON (PA-C) across health systems?
The NPI 1356827430 uniquely identifies BETHANY KATE ROBERTSON (PA-C) in U.S. healthcare data.
Does the public listing show BETHANY KATE ROBERTSON (PA-C) as active?
BETHANY KATE ROBERTSON (PA-C)'s NPI record reflects an active status in NPPES.
What services align with BETHANY KATE ROBERTSON (PA-C)'s listing?
BETHANY KATE ROBERTSON (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BETHANY KATE ROBERTSON (PA-C) tied to Rowlett, Texas?
If you are local to Rowlett, Texas, BETHANY KATE ROBERTSON (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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