ANGELEAH MARIE ROBERTS (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1720719073

ANGELEAH MARIE ROBERTS (APRN) is a healthcare provider. based in Pleasant grove, Utah. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 9780882-4405 (UT). The NPI Number for ANGELEAH MARIE ROBERTS (APRN) is 1720719073

Main info

Female
Sole Proprietor
Name
ANGELEAH MARIE ROBERTS (APRN)
NPI
1720719073
Phone
(801) 477-7082
Address
519 W State Street Ste 103
Enumeration Date
17 June 2022
Last Update Date
3 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

Provider Addresses for ANGELEAH MARIE ROBERTS (APRN)

  • 519 W State Street Ste 103

    Pleasant Grove, UT 840622158

    Phone: (801) 477-7082

    Type: Location

  • 672 W 400 S STE 201

    SPRINGVILLE, UT 846633170

    Phone: (801) 369-8989

    Fax: (801) 704-9741

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,269.

Total Amount is formed as General ($1,269) + Research ($0) + Ownership ($0) = $1,269.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($218).

Total Amount

$1,269

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,269

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2022-07-26

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
I20220726003122INurse PractitionerUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84062)

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Reviews

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Frequently asked questions

What NPI should I save for ANGELEAH MARIE ROBERTS (APRN)?
Save NPI 1720719073 if you need a stable reference for ANGELEAH MARIE ROBERTS (APRN).
Is ANGELEAH MARIE ROBERTS (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ANGELEAH MARIE ROBERTS (APRN) work in?
You can think of ANGELEAH MARIE ROBERTS (APRN) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANGELEAH MARIE ROBERTS (APRN)?
The page summarizes Pleasant Grove, Utah for ANGELEAH MARIE ROBERTS (APRN); expand the address list for detail.
Is ANGELEAH MARIE ROBERTS (APRN) a real provider?
This page reflects official NPPES data for NPI 1720719073. Always confirm identity and privileges with the practice and licensing boards.

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