Individual provider Active NPI

Arianna Catherine Roberts, CRNP

  • Family Nurse Practitioner
  • Mountain Top, PA
National Provider Identifier
1275176026
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020639 Issued in PA
Practice address
239 S Mountain Blvd Ste 100
Mountain Top, PA 18707-1911
Phone
(570) 474-9300
NPI assigned
Oct 24, 2019
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 SP020639 PA Primary

Addresses

Primary practice location

239 S Mountain Blvd Ste 100
Mountain Top, PA 18707-1911

Mailing address

610 Wyoming Ave
Kingston, PA 18704-3702
Phone (570) 288-5441

Other practice location 1

176 N Main St
Shavertown, PA 18708-1121
Phone (570) 675-0900

Other identifiers 1

IdentifierTypeStateIssuer
SP020639OtherPAMEDICAL LICENSE

Other names 1

  • Arianna Catherine Anglovich Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arianna.roberts.1@21771.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20191223000401 PA Practitioner - Nurse Practitioner 3072947209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

10 Trieble Dr
Tunkhannock, PA 18657-7054
Phone (570) 996-2700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Oct 25, 2021 Accepting new patients
Geisinger Clinic CurrentSince Oct 25, 2021 Accepting new patients
Commonwealth Physician Network LLC PastSince Aug 1, 2021 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100

57 N Main St
Pittston, PA 18640
Phone (570) 602-5620

10 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 836-2273

Interoperability endpoints

  • Direct secure messaging: aroberts469653@direct.geisinger.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1275176026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 S MOUNTAIN BLVD STE 100",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071911",
            "telephone_number": "570-474-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 N Main St",
            "address_purpose": "LOCATION",
            "city": "Shavertown",
            "state": "PA",
            "postal_code": "187081121",
            "country_code": "US",
            "telephone_number": "570-675-0900",
            "fax_number": "570-674-9814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ARIANNA",
        "middle_name": "CATHERINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "SP020639",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arianna.roberts.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "239 S Mountain Blvd Ste 100",
            "city": "Mountain Top",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187071911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ARIANNA",
            "last_name": "ANGLOVICH",
            "middle_name": "CATHERINE",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain Top, PA

Sources for this page

Verify at the official NPI Registry.