Active NPI
Shawn R Roberson, DNP
- Nurse Practitioner
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704274764
- Practice address
- 3160 Cabaret TRL S
Saginaw, MI 48603-2202 - Phone
- (989) 799-8712
- Fax
- (989) 791-4216
- NPI assigned
- Aug 2, 2013
- Last updated
- Nov 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704274764 | MI | Primary |
Addresses
Primary practice location
3160 Cabaret TRL S
Saginaw, MI 48603-2202
Mailing address
PO Box 373
Otisville, MI 48463-0373
Phone (989) 272-9580
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sroberson36431@direct.covenanthealthcare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3160 Cabaret TRL S
Saginaw, MI 48603-2202
Phone (989) 799-8712
Hospital & facility affiliations
- Mymichigan Medical Center Alpena
- Covenant Medical Center
- Mymichigan Medical Center Clare
- Hills & Dales General Hospital
- Mymichigan Medical Center Saginaw
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.69 of 100
- Quality
- 86.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Clinic Neurosurgery PLLC | Current | Accepting new patients |
Locations
4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121
4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112
3160 Cabaret Trl S
Saginaw, MI 48603
Phone (989) 799-8712
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Saginaw, MI
- NPI 1457794513
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Covenant Healthcare
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- Critical Access Hospital
- Cass City, MI
- NPI 1154367001
-
dba Aspire Hill Street Clinic
- Psychiatry Physician
- Cass City, MI
- NPI 1952120859
Hospital
-
- Rural Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1619791431
-
- Rural Acute Care Hospital
- Alpena, MI
- NPI 1619914652
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1871507509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1174955066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 373",
"city": "OTISVILLE",
"state": "MI",
"postal_code": "484630373",
"telephone_number": "989-272-9580",
"fax_number": "989-272-9580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 CABARET TRL S",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032202",
"telephone_number": "989-799-8712",
"fax_number": "989-791-4216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "SHAWN",
"middle_name": "R",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-02",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704274764",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sroberson36431@direct.covenanthealthcare.com",
"affiliation": "N",
"address_1": "3160 Cabaret Trl S",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "486032202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.