Individual provider Active NPI

Sedelle Yvette Roberts, CRNP-BC

  • Adult Health Nurse Practitioner
  • York, PA
National Provider Identifier
1023665163
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP027241 Issued in PA
Practice address
1001 S George St FL 2
York, PA 17403-3676
Phone
(717) 851-2465
Fax
(717) 741-3043
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP027241 PA Primary
Gerontology Nurse Practitioner 363LG0600X R148166 MD

Addresses

Primary practice location

1001 S George St FL 2
York, PA 17403-3676

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-6226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200826000928 MD Practitioner - Nurse Practitioner 4688996671 Reassigns benefits to 1 organization
I20220316000114 DE Practitioner - Nurse Practitioner 4688996671 Reassigns benefits to 1 organization
I20230505000338 PA Practitioner - Nurse Practitioner 4688996671 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc CurrentSince Mar 4, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 4, 2022 Accepting new patients
Pinnacle Health Cardiovascular Institute Inc CurrentSince Apr 3, 2023 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Medstar Heart Institute LLC CurrentSince Aug 1, 2022 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
#1E50
Newark, DE 19718
Phone (302) 733-1980

4755 Ogletown Stanton Rd
Ste 1E50
Newark, DE 19718
Phone (302) 733-1980

3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405

3333 N Calvert St
Ste LL8
Baltimore, MD 21218
Phone (410) 554-6550

201 E University Pkwy
Fl 4
Baltimore, MD 21218

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557

Interoperability endpoints

  • Direct secure messaging: sedelle.roberts.p3@direct.chv.nextgenshare.com
  • Direct secure messaging: sroberts540442@direct.umm.edu

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1023665163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST FL 2",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-851-2465",
            "fax_number": "717-741-3043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 W Belvedere Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155216",
            "country_code": "US",
            "telephone_number": "410-601-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SEDELLE",
        "middle_name": "YVETTE",
        "name_prefix": "Miss",
        "credential": "CRNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP027241",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R148166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.