Mindy Jo Roberts, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G095579 Issued in IA

Practice address

2600 Dodge St Ste D4
Dubuque, IA 52003-7161

Phone

(563) 587-8368

Fax

(949) 577-4968

NPI assigned

Nov 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindy Jo Roberts Inc

  dba A Mindful Journey

  • Psychiatric/Mental Health Nurse Practitioner
  • Dubuque, IA
  • NPI 1760016786

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Crescent Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Dubuque, IA
  • NPI 1720146319

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1447680848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15740 N CASCADE RD",
            "city": "PEOSTA",
            "state": "IA",
            "postal_code": "520687027",
            "telephone_number": "563-590-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DODGE ST STE D4",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037161",
            "telephone_number": "563-587-8368",
            "fax_number": "949-577-4968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 Elm St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520013679",
            "country_code": "US",
            "telephone_number": "563-690-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MINDY",
        "middle_name": "JO",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H095579",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "J095579",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G095579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mindyjoroberts@gmail.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Dodge St Ste D4",
            "city": "Dubuque",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520037161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Andrew Riley, M.D.
• David M. Ringold, M.D.
• Kathleen Rippel, PT, DPT
• Justin M Risma, M.D.
• Marissa Elise Robbins, ATC, LAT
• Steven Michael Rock, M.D.
• Rocky Mountain Holdings, LLC (Air Care)
• Alberto Rodriguez Hernandez, M.D.
• Stephanie Rodriguez
• Jaclyn Rita Mae Roeder, PT, DPT

• Psychiatric/Mental Health Nurse Practitioner in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.