Roberta Jo Myers, RN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP09563 Issued in OH

Practice address

838 E Wooster St
Bowling Green, OH 43402-3186

Phone

(419) 372-2271

Fax

(419) 372-8010

NPI assigned

Sep 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Emergency Professional Services, Inc.

  dba Emergency Professional Services of Ohio, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353

  Family

  Medicare reassignment NPD
• Fort Ball Emergency Physicians LLC

  • Emergency Medicine Physician
  • Tiffin, OH
  • NPI 1235493768
  NPD (past)
• Tiffin Emergency Services, LLC

  • Emergency Medicine Physician
  • Tiffin, OH
  • NPI 1003874298
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1083808844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HASKINS RD",
            "address_2": "SUITE B",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021637",
            "telephone_number": "419-373-7607",
            "fax_number": "419-353-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 E WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434023186",
            "telephone_number": "419-372-2271",
            "fax_number": "419-372-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ROBERTA",
        "middle_name": "JO",
        "credential": "RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP09563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2822780",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Mull-Hoffman, MSW, LSW
• Lisa Moses Mullins
• Verna Marie Mullins, CDCA, QMHS
• Donna Murlin, LPN
• Tawfik Mussad, MD
• Nagel Chiropractic Center
• Gurpreet Nagra, MD
• Regina Dupe Nagy, M.D.
• Angela Jean Napierala, APRN
• Lisa Napierala

• Family Nurse Practitioner in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.