Active NPI
Elizabeth Lacey Roberts, PSYCH CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Corning, NY
National Provider Identifier
1053284596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP033921
- Practice address
- 145 Chemung St
Corning, NY 14830-2735 - Phone
- (570) 250-7837
- NPI assigned
- Sep 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 407737 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP033921 | PA | Primary |
Addresses
Primary practice location
145 Chemung St
Corning, NY 14830-2735
Mailing address
145 Chemung St
Corning, NY 14830-2735
Phone (607) 438-8996
Other names 1
- Elizabeth Roberts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2060 Fairport Nine Mile Point Rd
Suite 400
Penfield, NY 14526-1749
Phone (585) 388-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 407737 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| SP033921 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penfield Psychiatry PC | Single Specialty | Current | Accepting new patients |
Locations
2060 Fairport Nine Mile Point Rd
Ste 400
Penfield, NY 14526
Phone (585) 388-6000
Organizations & group practices 1
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": "1759104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1053284596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 CHEMUNG ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302735",
"telephone_number": "607-438-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 CHEMUNG ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302735",
"telephone_number": "570-250-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ELIZABETH",
"middle_name": "LACEY",
"credential": "PSYCH CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-29",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "407737",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP033921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "ROBERTS",
"credential": "PSYCH CRNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.