Individual provider Active NPI

Madison Courtney Roberts, CPNP-PC

  • Pediatric Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1275428963
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1190015 Issued in TX
Practice address
230 E Sycamore St Ste 100
Sherman, TX 75090-5017
Phone
(903) 202-2900
Fax
(903) 202-2901
NPI assigned
Jun 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1190015 TX Primary

Addresses

Primary practice location

230 E Sycamore St Ste 100
Sherman, TX 75090-5017

Mailing address

930 Ridgeview Dr Apt 1443
Allen, TX 75013-0084
Phone (678) 338-3981

Other practice location 1

450 N Standridge Blvd Ste 101
Anna, TX 75409-3443
Phone (972) 464-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1190015TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texoma Physicians Group, PLLC PastSince Jun 15, 2025 Accepting new patients

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": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1275428963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEVIEW DR APT 1443",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750130084",
            "telephone_number": "678-338-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E SYCAMORE ST STE 100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905017",
            "telephone_number": "903-202-2900",
            "fax_number": "903-202-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 N Standridge Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anna",
            "state": "TX",
            "postal_code": "754093443",
            "country_code": "US",
            "telephone_number": "972-464-2300",
            "fax_number": "903-202-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MADISON",
        "middle_name": "COURTNEY",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1190015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.