Michele Roberts, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-059551 Issued in AL

Practice address

188 Hospital Dr Ste 100
Fairhope, AL 36532-2038

Phone

(251) 607-9797

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiology Associates of Mobile IncGroup PAC ID 5496640229, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atmore Community Hospital Hospital, Atmore, AL, CCN 010169

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: micheleroberts@cam.allscriptsdirect.net
• FHIR API: https://fhir.cardassoc.com/R4/open-R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardiology Associates of Mobile Inc

  dba Cardiology Associates / Eastern Shore Internal Medicine

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1861666711
  Medicare reassignment Care Compare group NPD
• Cardiology Associates of Mobile Inc

  dba Cardiology Associates

  • Cardiovascular Disease Physician
  • Mobile, AL
  • NPI 1689623076
  NPD

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

• Escambia County Alabama Community Hospitals, Inc

  dba Atmore Community Hospital

  • Rural Acute Care Hospital
  • Atmore, AL
  • NPI 1124073879
  Care Compare affiliation

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1548743891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086758",
            "telephone_number": "251-607-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL DR STE 100",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322038",
            "telephone_number": "251-607-9797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 N McKenzie St",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365352249",
            "country_code": "US",
            "telephone_number": "251-607-9797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MICHELE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-059551",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-059551",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-059551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee D. Richards, CRNA
• Penelope Keren Richbourg, CRNP
• Robin Lea Riggins, LCSW
• Rise Therapy Services, LLC
• Robert C. Brown, M.D. P.C. (Brown & McCool OB GYN)
• Taylor Roberts, LCSW
• Melissa Robillard, OT
• Amanda Woods Robinson, M.D.
• Brittany Strevel Robinson, FNP
• Mary Elizabeth Lores Robinson, P.A.-C.

• Nurse Practitioner in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.