Michele Roberts, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

103362 Issued in MO

Practice address

368 Westglen Village Dr
Ballwin, MO 63021-6134

Phone

(366) 289-6655

NPI assigned

Jul 19, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in MO

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michele Ann Roberts PCGroup PAC ID 8527162684, 3 clinicians

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 and National Provider Directory roles.

• Michele Ann Roberts, P C

  • Gerontology Nurse Practitioner
  • Valley Park, MO
  • NPI 1811044233
  Medicare reassignment Care Compare group NPD Authorized official
• Michele Roberts, LLC

  • Gerontology Nurse Practitioner
  • Saint Peters, MO
  • NPI 1750561064
  NPD (past) Authorized official

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1467451708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630220323",
            "telephone_number": "314-289-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 WESTGLEN VILLAGE DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216134",
            "telephone_number": "366-289-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MICHELE",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "103362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428953418",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500028069",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Rhodes, MSW, LCSW
• Carol Robbins
• Robert a Schrameyer DDS PC (Ballwin Dental Care)
• Robert N Osdyke, Inc
• Robert N. Osdyke, Inc
• Tatonya Monique Roberts, FNP
• Kathleen Elam Rockwell, SPEECH AND LANGUAGE
• Melanie Rodman
• Caitlin Rojeski
• David S Rosenberg, M.D.

• Gerontology Nurse Practitioner in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Gerontology Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.