Individual provider Active NPI

Andrea Roberts, CRNP

  • Pediatric Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1487318259
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5015222 Issued in NC
Practice address
8358 Six Forks Rd Ste 204
Raleigh, NC 27615-5093
Phone
(919) 720-4000
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5015222 NC Primary

Addresses

Primary practice location

8358 Six Forks Rd Ste 204
Raleigh, NC 27615-5093

Mailing address

Margiotti & Kroll Pediatrics
4829 Street Rd.
Trevose, PA 19053

Other practice location 1

3801 Computer Dr Ste 200
Raleigh, NC 27609-6506
Phone (919) 782-5273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amarrone208884@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240715001997 NC Practitioner - Nurse Practitioner 5496290496 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5015222NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Jul 8, 2024 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

6602 Knightdale Blvd
Ste 204
Knightdale, NC 27545
Phone (919) 782-5273

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

3801 Computer Dr
Ste 200
Raleigh, NC 27609
Phone (919) 782-5273

10831 Forest Pines Dr
Ste 100
Raleigh, NC 27614
Phone (919) 782-5273

Organizations & group practices 2

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1487318259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARGIOTTI & KROLL PEDIATRICS",
            "address_2": "4829 STREET RD.",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "19053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8358 SIX FORKS RD STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155093",
            "telephone_number": "919-720-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Computer Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096506",
            "country_code": "US",
            "telephone_number": "919-782-5273",
            "fax_number": "919-781-8853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ANDREA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5015222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amarrone208884@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3801 Computer Dr Ste 200",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276096506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.