Individual provider Active NPI

Riley Ann Roberts, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Burleson, TX
National Provider Identifier
1467216218
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1152756 Issued in TX
Practice address
11797 South Fwy Ste 246
Burleson, TX 76028-7035
Phone
(817) 615-8627
Fax
(817) 615-8574
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1152756 TX Primary

Addresses

Primary practice location

11797 South Fwy Ste 246
Burleson, TX 76028-7035

Mailing address

11797 South Fwy Ste 246
Burleson, TX 76028-7035
Phone (817) 615-8627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240228002153 TX Practitioner - Nurse Practitioner 0648615708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Cardio and Renal Therapeutics of North Texas PLLCGroup PAC ID 7810329638, 32 clinicians

Practice addresses (Care Compare)

5830 Collin McKinney Pkwy
Suite 302
McKinney, TX 75070-5109
Phone (214) 272-2774

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1152756TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Well Crest Medical Clinic PLLC CurrentSince Feb 12, 2024 Accepting new patients
Huguley Medical Associates CurrentSince Feb 12, 2024 Accepting new patients
Cardio & Renal Therapeutics of North Texas PLLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

11803 South Fwy
Ste 205
Burleson, TX 76028
Phone (817) 293-1200

11797 South Fwy
Ste 246
Burleson, TX 76028
Phone (817) 551-5539

5830 Collin McKinney Pkwy
Ste 302
McKinney, TX 75070
Phone (212) 272-2774

Organizations & group practices 3

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": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1467216218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11797 SOUTH FWY STE 246",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287035",
            "telephone_number": "817-615-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11797 SOUTH FWY STE 246",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287035",
            "telephone_number": "817-615-8627",
            "fax_number": "817-615-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RILEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1152756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.