Individual provider Active NPI

Krystle Jeaneen Roberts, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1487066015
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01077864A Issued in IN
Practice address
8414 Naab Rd Ste 120
Indianapolis, IN 46260-1972
Phone
(317) 338-7584
Fax
(317) 338-7494
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01077864A IN
Family Medicine Physician 207Q00000X 11017695A IN
Family Medicine Physician 207Q00000X R5196 TX
Family Medicine Physician 207Q00000X 01077864A IN Primary

Addresses

Primary practice location

8414 Naab Rd Ste 120
Indianapolis, IN 46260-1972

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

253 Sagamore Pkwy W
Lafayette, IN 47906-1501
Phone (765) 448-8000

Other names 1

  • Krystle Schnepppfister Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address krystle.roberts.1@7598.direct.athenahealth.com ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER
Direct Messaging Address kroberts16@iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181018000206 IN Practitioner - Family PracticePractitioner - Emergency Medicine 2264653955 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians

Practice addresses (Care Compare)

955 N Michigan Ave
4 DCMH Immediate Care
Greensburg, IN 47240-1487
Phone (812) 662-6450

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R5196TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Emergency Medicine CurrentSince May 15, 2022 Accepting new patients
Decatur County Memorial Hospital Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Decatur County Memorial Hospital Current Accepting new patients
Magnificat Family Medicine, LLC Family Medicine CurrentSince Sep 5, 2018 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Family Medicine CurrentSince Feb 28, 2022 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince May 15, 2022 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Feb 28, 2022 Accepting new patients
Decatur County Memorial Hospital CurrentSince Oct 1, 2023 Accepting new patients
Major Hospital Past Accepting new patients
Decatur County Memorial Hospital Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

1206 E National Ave
Brazil, IN 47834
Phone (812) 442-2480

955 N Michigan Ave
Ste 4
Greensburg, IN 47240
Phone (812) 662-6450

955 N Michigan Ave
Greensburg, IN 47240
Phone (812) 663-5533

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8414 Naab Rd
Ste 120
Indianapolis, IN 46260
Phone (317) 338-7578

8414 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-1600

8240 Naab Rd
Ste 416
Indianapolis, IN 46260
Phone (317) 306-5588

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: krystle.roberts@direct.dcmh.net
  • Direct secure messaging: krystle.roberts.1@7598.direct.athenahealth.com
  • Direct secure messaging: kroberts16@direct.iuhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1487066015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 NAAB RD STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601972",
            "telephone_number": "317-338-7584",
            "fax_number": "317-338-7494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 Sagamore Pkwy W",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479061501",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KRYSTLE",
        "middle_name": "JEANEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01077864A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11017695A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R5196",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01077864A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krystle.roberts.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER",
            "address_1": "8414 Naab Rd Ste 120",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462601972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kroberts16@iuhealth.org",
            "affiliation": "N",
            "address_1": "253 Sagamore Pkwy W",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479061501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRYSTLE",
            "last_name": "SCHNEPPPFISTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.