Individual provider Active NPI

Nicole Roberts, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oldsmar, FL
National Provider Identifier
1053297754
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11040873 Issued in FL
Practice address
3919 Tampa Rd
Oldsmar, FL 34677-3114
Phone
(813) 279-1352
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11040873 FL Primary

Addresses

Primary practice location

3919 Tampa Rd
Oldsmar, FL 34677-3114

Mailing address

7308 S Trask St
Tampa, FL 33616-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250910000046 FL Practitioner - Nurse Practitioner 3678076445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Health IncGroup PAC ID 7810290384, 26 clinicians

Practice addresses (Care Compare)

27716 Cashford Cir
Suite 101
Wesley Chapel, FL 33544-6962
Phone (813) 540-1466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11040873FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Health Inc CurrentSince Jan 22, 2026 Accepting new patients
Health & Psychiatrist Consultants LLC CurrentSince Sep 1, 2025 Accepting new patients
Partners in Medicine & Surgery, P.a. PastSince Jan 22, 2026 Accepting new patients

Locations

3919 Tampa Rd
Oldsmar, FL 34677
Phone (727) 733-6111

27716 Cashford Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 406-4835

Organizations & group practices 3

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": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1053297754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 S TRASK ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336162123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 TAMPA RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773114",
            "telephone_number": "813-279-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11040873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

Verify at the official NPI Registry.