Terra Robertson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28217030A Issued in IN

Practice address

1919 State St Ste 340
New Albany, IN 47150-6807

Phone

(812) 945-5233

Fax

(812) 945-2804

NPI assigned

May 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OB GYN Associates of Southern inGroup PAC ID 9739106485, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• OB GYN Associates of Southern in

  • Obstetrics & Gynecology Physician
  • New Albany, IN
  • NPI 1215948187
  Medicare reassignment Care Compare group NPD
• New Hope Services, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Jeffersonville, IN
  • NPI 1699193904
  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1417649633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 WALL ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303885",
            "telephone_number": "812-288-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 STATE ST STE 340",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506807",
            "telephone_number": "812-945-5233",
            "fax_number": "812-945-2804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 Wall St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303885",
            "country_code": "US",
            "telephone_number": "812-288-4304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "TERRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28217030A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300079969",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert E Lee Investors, LLC
• Christine Marie Roberts, OTR
• Jesse David Roberts, FNP
• Abby Robertson, RBT
• Kimberly Robertson
• Asia Robinson, RBT
• Jaclyn Ann Robinson, PHARMD
• Mackenzie Robinson
• Roger'S Wabash Optical, LLC
• Andrew Rogers

• Family Nurse Practitioner in New Albany, IN
• Providers in New Albany, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.

Verify at the official NPI Registry.