Individual provider Active NPI

Cynthia Lynn Roberts, APRN FNP-BC

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1093203903
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
104869 Issued in WV
Practice address
1249 15TH St Ste 3000
Huntington, WV 25701-3663
Phone
(304) 691-1000
Fax
(304) 691-1693
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.326516 OH
Registered Nurse 163W00000X 71738 WV
Family Nurse Practitioner 363LF0000X APRN.CNP026567 OH
Family Nurse Practitioner 363LF0000X 104869 WV Primary

Addresses

Primary practice location

1249 15TH St Ste 3000
Huntington, WV 25701-3663

Mailing address

PO Box 4190
Barboursville, WV 25504-4190

Other practice location 1

2828 1st Ave Ste 304
Huntington, WV 25702-1236
Phone (304) 399-7213

Other identifiers 2

IdentifierTypeStateIssuer
104869OtherWVAPRN WV LICENSE
APRN.CNP.026567OtherOHAPRN OH LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cynthia.roberts@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210610000535 WV Practitioner - Nurse Practitioner 8426458670 Reassigns benefits to 3 organizations
I20210922003447 OH Practitioner - Nurse Practitioner 8426458670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1249 15TH St
Suite 3000
Huntington, WV 25701-3663
Phone (304) 691-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.326516OHMDRegistered Nurse
71738WVMDRegistered Nurse
APRN.CNP026567OHMDFamily Nurse Practitioner
104869WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Jul 5, 2022 Accepting new patients
St. Mary'S Medical Management, LLC Family CurrentSince Jul 1, 2021 Accepting new patients
St. Mary'S Medical Management, LLC CurrentSince Jul 1, 2021 Accepting new patients
Signify Health, LLC CurrentSince Sep 1, 2021 Accepting new patients
University Physicians & Surgeons, Inc Family Current Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Jul 5, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2828 1st Ave
Ste 304
Huntington, WV 25702
Phone (304) 399-7213

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1249 15th St
Ste 3000
Huntington, WV 25701
Phone (304) 691-1095

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1093203903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4190",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255044190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 15TH ST STE 3000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013663",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 1st Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021236",
            "country_code": "US",
            "telephone_number": "304-399-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.326516",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "71738",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP026567",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN WV LICENSE",
            "identifier": "104869",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN OH LICENSE",
            "identifier": "APRN.CNP.026567",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cynthia.roberts@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1249 15th St Ste 3000",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.