Individual provider Active NPI

Kazlyn Roberts

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1265324727
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1650 W Rosedale St Ste 120
Fort Worth, TX 76104-7402
Phone
(877) 314-8990
NPI assigned
Jul 18, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1650 W Rosedale St Ste 120
Fort Worth, TX 76104-7402

Mailing address

313 S Shore Dr
Amarillo, TX 79118-8015

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
I20251017004128 TX Practitioner - Physician Assistant 8022506435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Orthopaedics of Irving PLLCGroup PAC ID 3779667092, 57 clinicians

Practice addresses (Care Compare)

1650 W Rosedale St
Suite 120
Fort Worth, TX 76104-7400
Phone (877) 314-8990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Orthopaedics of Irving PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

1650 W Rosedale St
Ste 120
Fort Worth, TX 76104
Phone (214) 575-5885

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

4351 Booth Calloway Rd
Ste 303
North Richland Hills, TX 76180
Phone (214) 496-9701

Interoperability endpoints

  • Direct secure messaging: kazlyn.roberts@hca7.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1265324727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S SHORE DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791188015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST STE 120",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047402",
            "telephone_number": "877-314-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KAZLYN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.