Peggy Jo Roberts, MSN, CRNP, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Albertville, AL
NPI 1477041804 · NPPES record last updated Oct 27, 2018
Key facts
- NPI
- 1477041804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-118016 (AL)
- Practice address
- 3442 US Highway 431
Albertville, AL 35950-0203 - Phone
- (256) 907-9000
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Practice addresses (Care Compare)
6001 Marcus Byers Dr NE
Huntsville, AL 35811-1157
Phone (256) 864-6656
Hospital & facility affiliations
- Highlands Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190621000975 | AL | Practitioner - Nurse Practitioner | 4082948286 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN272698 | GA | MD | Registered Nurse |
| 1-118016 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Services Group LLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Medical Asset Group, LLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Medical Asset Group, LLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients |
Locations
3442 US Highway 431
Albertville, AL 35950
Phone (256) 593-1234
15239 AL Highway 68
Crossville, AL 35962
Phone (256) 528-7173
416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280
41718 AL Highway 75
Geraldine, AL 35974
Phone (256) 925-0469
6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038
324 Micah Way
Scottsboro, AL 35769
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN272698 | GA | |
| Registered Nurse | 163W00000X | 1-118016 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-118016 | AL | Yes |
Addresses
Primary practice location
3442 US Highway 431
Albertville, AL 35950-0203
Mailing address
932 County Road 150
Dawson, AL 35963-3303
Phone (256) 558-7609
Other names
- Ms. Peggy Jo Beck
Other providers in Albertville, AL
- Respiratory Services Inc
- Kathleen Rice
- Donna Richardson
- Robert G Barham DMD, PC
- Amanda Gaskin Roberts
- Lindsey Rena Rollins Garrett
- Zurely Roys Quintero
- Stephanie Michelle Saint
- Elliott J. Saltz
- Amy P Sampson
All providers in Albertville, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.