Courtney Roberts

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA057666 Issued in PA

Practice address

3 Life Mark Dr
Sellersville, PA 18960-1598

Phone

(215) 256-1127

NPI assigned

Jun 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Grand View HospitalGroup PAC ID 8022001924, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: croberts350842@direct-sluhn.org

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.

• Grand View Hospital

  • Cardiovascular Disease Physician
  • Sellersville, PA
  • NPI 1063196509
  Medicare reassignment Care Compare group NPD
• St. Luke'S Physician Group, Inc.

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment Care Compare group
• St Luke'S Physician Group Inc

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St Luke'S Physician Group Inc

  • Family Medicine Physician
  • Souderton, PA
  • NPI 1952295362
  NPD
• Grand View Hospital

  • Pulmonary Disease Physician
  • Sellersville, PA
  • NPI 1518362359
  NPD (past)
• Lehigh Valley Cardio Diagnostics PC

  • Cardiovascular Disease Physician
  • Allentown, PA
  • NPI 1386738326
  NPD (past)
• St. Luke'S Physician Group, Inc

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
  • NPI 1447801535
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Luke'S Hospital Grand View Campus

  • General Acute Care Hospital
  • Sellersville, PA
  • NPI 1568459287
  Care Compare affiliation

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

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477935211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LIFE MARK DRIVE",
            "address_2": "LIFEMARK MEDICAL CENTER",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "18960",
            "telephone_number": "215-257-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LIFE MARK DR",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601598",
            "telephone_number": "215-256-1127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 S Cedar Crest Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "610-770-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA057666",
            "identifier": "MA057666",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ridge Chiropractic and Rehab LLC
• Ridge Chiropractic Inc
• Heloise J Ridley, M.A.
• Allie Riegel
• Heidi Lee Rimmer, MPT
• Melanie A Roberts, B.S.
• Jack Steven Robinson, O.D.
• Heather E Rollins, M.ED.
• Fran M Rosenbaum, B.A.
• Benjamin Louis Rosenfeld, MD

• Medical Physician Assistant in Sellersville, PA
• Providers in Sellersville, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.