MR. JOHNNY DON ROBERTS (FNP) – Nurse Practitioner, NPI 1508304668

MR. JOHNNY DON ROBERTS (FNP) is a healthcare provider. based in Corpus christi, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP133229 (TX). The NPI Number for MR. JOHNNY DON ROBERTS (FNP) is 1508304668

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHNNY DON ROBERTS (FNP)
NPI
1508304668
Phone
(806) 786-4214
Address
5805 HINMAN DR
Enumeration Date
8 February 2017
Last Update Date
8 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8062724524
Graduation Year
2010 (16 years ago)
PAC ID
0547686511
Group Practice PAC ID
8820906167
Professional Enrollment ID
I20200820003086
Address ID
TX793473627MU708XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MR. JOHNNY DON ROBERTS (FNP)

  • 5805 HINMAN DR

    CORPUS CHRISTI, TX 784122841

    Phone: (806) 786-4214

    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 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Mylan Specialty L.P. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mylan Specialty L.P.$27
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: 2020-08-20

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
I20200820003086INurse PractitionerTXTBD

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
J0696Injection, ceftriaxone sodium, per 250 mg22855$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg22044$0
J1100Injection, dexamethasone sodium phosphate, 1 mg15627$0
96372Injection of drug or substance under skin or into muscle14987$0
99213Established patient office or other outpatient visit, 20-29 minutes112101$0
View full utilization report →

Insurance plans in this area (ZIP 78412)

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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: 8820906167View full group profile
NameSpecialtyState
Family PracticeTX
Nurse PractitionerTX
Family Practice, Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What unique ID ties claims to MR. JOHNNY DON ROBERTS (FNP)?
NPI 1508304668 is assigned to MR. JOHNNY DON ROBERTS (FNP) under the national enumeration system.
Is MR. JOHNNY DON ROBERTS (FNP) currently active in the NPI registry?
CMS-published data lists MR. JOHNNY DON ROBERTS (FNP) as an active registrant.
What kind of provider is MR. JOHNNY DON ROBERTS (FNP)?
The page reflects Nurse Practitioner for MR. JOHNNY DON ROBERTS (FNP). Clinical services aligned with this taxonomy classification.
Where is MR. JOHNNY DON ROBERTS (FNP)'s primary listing?
We display Corpus Christi, Texas because that is what the record indicates for MR. JOHNNY DON ROBERTS (FNP).
How can I contact MR. JOHNNY DON ROBERTS (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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