Active NPI
Kelli Robertson, APRN, FNP-C
- Family Nurse Practitioner
- Bush, LA
National Provider Identifier
1376972570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP07386
- Practice address
- 79630 Highway la 21
Bush, LA 70431 - Phone
- (985) 730-2252
- Fax
- (985) 730-2258
- NPI assigned
- Nov 7, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP07386 | LA | Primary |
Addresses
Primary practice location
79630 Highway la 21
Bush, LA 70431
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0010
Other practice location 1
1416 Gobbler Head Dr
Bogalusa, LA 70427
Phone (985) 732-4853
Other practice location 2
141 Lakeview Cir
Covington, LA 70433-7513
Phone (985) 871-0735
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | krobertson64365@direct.casso.us.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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)
1416 Gobbler Head Dr
Bogalusa, LA 70427-6091
Phone (985) 730-6706
433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6706
Hospital & facility affiliations
- Pulse Home Health Care
- Southeast Louisiana Home Health, LLC
- Our Lady of the Angels Hospital
- St Tammany Parish Hospital
- Riverside Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Parish Emergency Physicians Group LLC | Current | Accepting new patients | |
| Wash-St Tammany Reg Medical Center | Nurse Practitioner | Current | Accepting new patients |
| Riverside Emergency Physician Partners LLC | Current | Accepting new patients | |
| C & M Medical Services, Inc. | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Nurse Practitioner | Past | Accepting new patients |
| Washington St. Tammany Regional Medical Center | Past | Accepting new patients |
Locations
433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700
2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702
352 Hospital Blvd
#P
Pineville, LA 71360
Phone (318) 473-6249
1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431
Interoperability endpoints
- krobertson64365@direct.casso.us.com
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Bogalusa, LA
- NPI 1912334533
-
- Emergency Medical Services (Emergency Medicine) Physician
- Metairie, LA
- NPI 1710903059
-
- Emergency Medicine Physician
- Lafayette, LA
- NPI 1083107080
-
- Emergency Medicine Physician
- Bogalusa, LA
- NPI 1538511043
-
- General Acute Care Hospital
- Bogalusa, LA
- NPI 1508809088
Nurse Practitioner
-
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
Nurse Practitioner
-
- Pharmacy
- Bogalusa, LA
- NPI 1801801436
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Covington, LA
- NPI 1821044165
-
- General Acute Care Hospital
- Bogalusa, LA
- NPI 1093140600
-
- Critical Access Hospital
- Franklinton, LA
- NPI 1700874062
-
- Home Health Agency
- Covington, LA
- NPI 1386610848
-
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1376972570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-526-0010",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79630 HIGHWAY LA 21",
"city": "BUSH",
"state": "LA",
"postal_code": "70431",
"telephone_number": "985-730-2252",
"fax_number": "985-730-2258"
}
],
"practiceLocations": [
{
"address_1": "1416 Gobbler Head Dr",
"address_purpose": "LOCATION",
"city": "Bogalusa",
"state": "LA",
"postal_code": "70427",
"country_code": "US",
"telephone_number": "985-732-4853",
"fax_number": "985-735-8883",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "141 Lakeview Cir",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "LA",
"postal_code": "704337513",
"country_code": "US",
"telephone_number": "985-871-0735",
"fax_number": "985-809-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTSON",
"first_name": "KELLI",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2025-02-19",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP07386",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1416 Gobbler Head Dr",
"city": "Bogalusa",
"state": "LA",
"country_code": "US",
"postal_code": "70427",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krobertson64365@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "krobertson64365@direct.casso.us.com",
"address_1": "1416 Gobbler Head Dr",
"city": "Bogalusa",
"state": "LA",
"country_code": "US",
"postal_code": "70427",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bush, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.