Individual provider Active NPI

Jessica Nicole Roberts

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1609578269
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013620A Issued in IN
Practice address
8123 Castleton Rd
Indianapolis, IN 46250-2006
Phone
(317) 777-1034
Fax
(855) 274-4349
NPI assigned
Mar 20, 2023
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71013620A IN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71013620A IN

Addresses

Primary practice location

8123 Castleton Rd
Indianapolis, IN 46250-2006

Mailing address

8123 Castleton Rd
Indianapolis, IN 46250-2006
Phone (317) 777-1034

Other practice location 1

549 E County Line Rd Ste E
Greenwood, IN 46143-1068
Phone (317) 777-1034

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621002364 IN Practitioner - Nurse Practitioner 2466810502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Klarity PCGroup PAC ID 4183058977, 9 clinicians

Practice addresses (Care Compare)

8123 Castleton Rd
Indianapolis, IN 46250-2006
Phone (317) 777-1034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
71013620AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Klarity P.C. CurrentSince May 30, 2024 Accepting new patients
Roadways to Recovery Inc., Family CurrentSince May 20, 2023 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2620 Industrial Dr
Bedford, IN 47421
Phone (812) 583-6540

432 S Emerson Ave
Ste 300
Greenwood, IN 46143
Phone (317) 777-1034

549 E County Line Rd
Ste E
Greenwood, IN 46143
Phone (317) 777-1034

821 N State Road 135
Greenwood, IN 46142
Phone (317) 560-4300

8123 Castleton Rd
Indianapolis, IN 46250
Phone (317) 777-1034

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1609578269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8123 CASTLETON RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502006",
            "telephone_number": "317-777-1034",
            "fax_number": "855-277-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8123 CASTLETON RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502006",
            "telephone_number": "317-777-1034",
            "fax_number": "855-274-4349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "549 E County Line Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431068",
            "country_code": "US",
            "telephone_number": "317-777-1034",
            "fax_number": "855-277-4349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013620A",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71013620A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.