Individual provider Active NPI

Adam Heath Roberts, FNP-BC

  • Family Nurse Practitioner
  • Hull, TX
National Provider Identifier
1114204716
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP120936 Issued in TX
Practice address
7655 FM 834
Hull, TX 77564
Phone
(936) 536-6057
Fax
(936) 536-6132
NPI assigned
Nov 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP120936 TX Primary

Addresses

Primary practice location

7655 FM 834
Hull, TX 77564

Mailing address

PO Box M
Hull, TX 77564-0715
Phone (936) 536-6057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140509000169 TX Practitioner - Nurse Practitioner 0042443483 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Urgent Care Setx LLCGroup PAC ID 1153659040, 6 clinicians

Practice addresses (Care Compare)

3650 N Major Dr
Suite a
Beaumont, TX 77713-9684
Phone (409) 333-1272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP120936TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC Current Accepting new patients
Nluc PLLC Dba Next Level Urgent Care CurrentSince Aug 1, 2022 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Jan 1, 2016 Accepting new patients
Abry Medical PLLC Family CurrentSince Sep 4, 2022 Accepting new patients
Beaumont Urgent Care Setx, LLC CurrentSince Jul 21, 2024 Accepting new patients
Nluc PLLC CurrentSince Aug 1, 2022 Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Camino Real Emergency Physicians PLLC Past Accepting new patients

Locations

3650 N Major Dr
Ste A
Beaumont, TX 77713
Phone (409) 333-1272

6342 Phelan Blvd
Beaumont, TX 77706
Phone (281) 783-7182

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

5718 Westheimer Rd
Ste 400
Houston, TX 77057
Phone (469) 600-6282

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

1031 Nederland Ave
Nederland, TX 77627
Phone (409) 540-9418

408 Highway 96 S
Silsbee, TX 77656
Phone (409) 373-6415

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 8

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": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1114204716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX M",
            "city": "HULL",
            "state": "TX",
            "postal_code": "775640715",
            "telephone_number": "936-536-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 FM 834",
            "city": "HULL",
            "state": "TX",
            "postal_code": "77564",
            "telephone_number": "936-536-6057",
            "fax_number": "936-536-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ADAM",
        "middle_name": "HEATH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-09",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hull, TX

Sources for this page

Verify at the official NPI Registry.