Individual provider Active NPI

Jason Roberts, NP

  • Family Nurse Practitioner
  • Troy, MI
National Provider Identifier
1003269895
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704219864 Issued in MI
Practice address
500 Kirts Blvd Ste 200
Troy, MI 48084-4140
Phone
(248) 824-6500
NPI assigned
Jul 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704219864 MI
Family Nurse Practitioner 363LF0000X 4704219864 MI Primary
Nurse Practitioner 363L00000X 4704219864 MI

Addresses

Primary practice location

500 Kirts Blvd Ste 200
Troy, MI 48084-4140

Mailing address

PO Box 40412
Belfast, ME 04915-1255
Phone (248) 824-6600

Other practice location 1

15146 16th Ave
Marne, MI 49435-9605
Phone (844) 776-9651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906000221 MI Practitioner - Nurse Practitioner 8224324066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Troy, MI 48084
Phone (248) 824-6060

Hospital & facility affiliations

  • Elara Caring Home health agency, Bingham Farms, MI, CCN 239000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Oct 9, 2025 Accepting new patients
Vpa PC CurrentSince Oct 9, 2025 Accepting new patients
Vpa PC Current Accepting new patients

Locations

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Interoperability endpoints

  • Direct secure messaging: jason.roberts.1@32913.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1003269895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40412",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151255",
            "telephone_number": "248-824-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844140",
            "telephone_number": "248-824-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15146 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Marne",
            "state": "MI",
            "postal_code": "494359605",
            "country_code": "US",
            "telephone_number": "844-776-9651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JASON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704219864",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704219864",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704219864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.