Benjamin Joel Roberts, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Charlotte, NC
NPI 1023045689 · NPPES record last updated Aug 14, 2008
Key facts
- NPI
- 1023045689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 185344 (NC)
- Practice address
- 10628 Park Rd
Anesthesia Department
Charlotte, NC 28210-8407 - Phone
- (704) 667-1000
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Duke University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Ballantyne Medical Center LLC
Practice addresses (Care Compare)
10905 Providence Rd W
Charlotte, NC 28277-3644
Phone (980) 488-4000
Hospital & facility affiliations
- Novant Health Ballantyne Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060927000597 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1557366440 | Reassigns benefits to 14 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Rowan Medical Center, LLC | Current |
Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| CHS Anesthesia Services Group Inc | Current |
Accepting new patients | |
| The Presbyterian Hospital | Current |
Accepting new patients | |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Current | Accepting new patients | |
| Presbyterian Sameday Surgery Center at Huntersville LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current |
Accepting new patients | |
| Novant Health Rowan Medical Center LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Novant Health Ballantyne Medical Center LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Novant Health Thomasville Medical Center LLC | Current |
Accepting new patients | |
| Novant Health Thomasville Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Medical Park Hospital LLC | Current |
Accepting new patients | |
| Novant Health Kernersville Outpatient Surgery LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Medical Park Hospital LLC | Current |
Accepting new patients | |
| Presbyterian Sameday Surgery Center at Huntersville LLC | Current | Accepting new patients | |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Novant Health Mint Hill Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Novant Health Clemmons Outpatient Surgery, LLC | Current | Accepting new patients | |
| Brunswick Community Hospital, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Novant Health Matthews Medical Center LLC | Current |
Accepting new patients | |
| Novant Health Kernersville Outpatient Surgery LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients |
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000
14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 185344 | NC | Yes |
Addresses
Primary practice location
10628 Park Rd
Anesthesia Department
Charlotte, NC 28210-8407
Mailing address
10628 Park Rd
Anesthesia Department
Charlotte, NC 28210-8407
Phone (704) 667-1971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NAN638 | Medicaid | SC | |
| 8052584 | Medicaid | NC |
Other providers in Charlotte, NC
- Robert L. Young, Jr. , DDS
- Robert R Haglund Jr DMD, MDS,II,PA
- Aderonke Roberts
- Amy Elaine Roberts
- Ashley Roberts
- Christopher Nathan Roberts
- Constance Marie Roberts
- Darryl Roberts
- Deanna Roberts
- Donald Roberts Jr.
All providers in Charlotte, NC · Certified Registered Nurse Anesthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.