NPIMap

Individual provider Active NPI

Roberta Weiss

  • Family Nurse Practitioner
  • Caro, MI
National Provider Identifier
1649638404
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704169487 Issued in MI
Practice address
1070 E Caro Rd
Caro, MI 48723-1236
Phone
(989) 672-0341
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704169487 MI Primary

Addresses

Primary practice location

1070 E Caro Rd
Caro, MI 48723-1236

Mailing address

3363 Karg Rd
Port Hope, MI 48468-9300
Phone (810) 434-3081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161213000788 MI Practitioner - Nurse Practitioner 3577842848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arshad Aqil MD PLLCGroup PAC ID 1658397153, 2 clinicians
List Psychological Services, PLCGroup PAC ID 6709799323, 28 clinicians

Practice addresses (Care Compare)

1070 E Caro Rd
Suite 1
Caro, MI 48723-1261
Phone (989) 672-0341

467 N State St
Caro, MI 48723-1539
Phone (989) 672-2016

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
List Psychological Services, PLC Current Accepting new patients
Deckerville Community Hospital, Inc CurrentSince Nov 9, 2016 Accepting new patients
Arshad Aqil MD PLLC CurrentSince May 15, 2025 Accepting new patients
Deckerville Community Hospital, Inc. CurrentSince Nov 9, 2016 Accepting new patients
Tri City Geriatrics Inc PastSince May 15, 2025 Accepting new patients
List Psychological Services, PLC Past Accepting new patients

Locations

443 N State St
Caro, MI 48723
Phone (989) 672-6160

1070 E Caro Rd
Ste 1
Caro, MI 48723
Phone (989) 672-0341

651 N State St
Caro, MI 48723
Phone (989) 672-6160

1070 E Caro Rd
Caro, MI 48723
Phone (989) 672-0341

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

2433 Black River St
Deckerville, MI 48427
Phone (810) 376-2835

624 W Nepessing St
Ste 300
Lapeer, MI 48446
Phone (810) 667-4500

2750 Main St
Ste 6
Marlette, MI 48453
Phone (810) 376-2885

5024 N Center Rd
Saginaw, MI 48604
Phone (989) 672-6160

Interoperability endpoints

  • Direct secure messaging: rweiss44489@direct.covenanthealthcare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1649638404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 KARG RD",
            "city": "PORT HOPE",
            "state": "MI",
            "postal_code": "484689300",
            "telephone_number": "810-434-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 E CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231236",
            "telephone_number": "989-672-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ROBERTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704169487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

Verify at the official NPI Registry.