Jessiela Venis Roberts, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-9138 Issued in AR

Practice address

612 S 12TH St
Fort Smith, AR 72901-4702

Phone

(479) 785-2431

Fax

(479) 785-0732

NPI assigned

Mar 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Arkansas for Medical SciencesGroup PAC ID 4082528955, 1,159 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Fort Smith, AR, CCN 047339
• University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016
• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• University of Arkansas for Medical Sciences

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1831193531
  Medicare reassignment Care Compare group NPD
• University of Arkansas for Medical Sciences

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1588654016

  Family Medicine

  NPD (past)

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

• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  Care Compare affiliation
• LHCG Xlii, LLC

  • Home Health Agency
  • Fort Smith, AR
  • NPI 1154668895
  Care Compare affiliation
• University of Arkansas for Medical Sciences

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1477549756
  Care Compare affiliation

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1104168459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W BRINKLEY LOOP",
            "address_2": "APT. 2",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723645033",
            "telephone_number": "914-325-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S 12TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014702",
            "telephone_number": "479-785-2431",
            "fax_number": "479-785-0732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 S E St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014716",
            "country_code": "US",
            "telephone_number": "479-785-2431",
            "fax_number": "479-494-7787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1617 N Washington",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "AR",
            "postal_code": "717532046",
            "country_code": "US",
            "telephone_number": "870-234-7676",
            "fax_number": "870-562-2559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JESSIELA",
        "middle_name": "VENIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-9138",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AR",
            "license": "E-9138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Skinner DDS PA
• Robert L Spray Jr PHD PA
• Robert Mack Inc
• Drew Roberts, DDS
• Gregory Dell Roberts, PHD LPC
• Katelyn Roberts
• Lacey Rose Roberts, LCSW
• Lorin Roberts
• Lotoya Roberts, QBHP
• Philip E Roberts, D.C.

• Family Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.

Verify at the official NPI Registry.