Individual provider Active NPI

Kristen M Roberts, PA-C

  • Physician Assistant
  • Toledo, OH
National Provider Identifier
1669931218
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.005907RX Issued in OH
Practice address
4405 N Holland Sylvania Rd
Toledo, OH 43623-3529
Phone
(419) 517-0146
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005907RX OH Primary

Addresses

Primary practice location

4405 N Holland Sylvania Rd
Toledo, OH 43623-3529

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2598

Other practice location 1

2627 Tremainsville Rd
Toledo, OH 43613-2509
Phone (567) 803-0425

Other practice location 2

7224 Dutch Rd
Waterville, OH 43566-9831
Phone (419) 517-0146

Other practice location 3

3626 S Detroit Ave
Toledo, OH 43614-4412
Phone (419) 727-6020

Other practice location 4

3439 Granite Cir Ste 200
Toledo, OH 43617-1441
Phone (419) 517-1000

Other practice location 5

505 N Reynolds Rd
Toledo, OH 43615-0705
Phone (419) 803-0421

Other identifiers 1

IdentifierTypeStateIssuer
0347796MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190522002694 OH Practitioner - Physician Assistant 0244573822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Toledo Physicians LLCGroup PAC ID 8729983416, 400 clinicians

Practice addresses (Care Compare)

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578

3333 Glendale Ave
Toledo, OH 43614-2426
Phone (419) 383-5550

3355 Glendale Ave
Toledo, OH 43614-2426
Phone (419) 383-5614

3439 Granite Cir
Suite 200
Toledo, OH 43617-1196
Phone (419) 517-1000

725 S Shoop Ave
Wauseon, OH 43567-1702
Phone (419) 335-2015

Hospital & facility affiliations

  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048
  • Fulton County Health Center Hospital, Wauseon, OH, CCN 361333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC Physician Assistant CurrentSince Apr 20, 2021 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients
University of Toledo Physicians LLC CurrentSince Apr 20, 2021 Accepting new patients
West Toledo Urgent Care LLC Past Accepting new patients
Mercy Health Urgent Care LLC Past Accepting new patients

Locations

L4189
Columbus, OH 43260

5871 Monclova Rd
Maumee, OH 43537
Phone (419) 897-8376

3439 Granite Cir
Ste 200
Toledo, OH 43617
Phone (419) 517-1000

3000 Arlington Ave
#1094
Toledo, OH 43614
Phone (419) 383-3761

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

4510 Dorr St
#840
Toledo, OH 43615
Phone (419) 383-3888

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

Interoperability endpoints

  • Direct secure messaging: kristen.sfaelos.p1@direct.whc.nextgenshare.com
  • Direct secure messaging: ksfaelos24965@direct.utoledo.edu

Organizations & group practices 5

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 3

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1669931218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 N HOLLAND SYLVANIA RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233529",
            "telephone_number": "419-517-0146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2627 Tremainsville Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436132509",
            "country_code": "US",
            "telephone_number": "567-803-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7224 Dutch Rd",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "OH",
            "postal_code": "435669831",
            "country_code": "US",
            "telephone_number": "419-517-0146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3626 S Detroit Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436144412",
            "country_code": "US",
            "telephone_number": "419-727-6020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3439 Granite Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436171441",
            "country_code": "US",
            "telephone_number": "419-517-1000",
            "fax_number": "567-408-7267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Reynolds Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436150705",
            "country_code": "US",
            "telephone_number": "419-803-0421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005907RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347796",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.