Individual provider Active NPI

Michele Roberts, PA-C

  • Physician Assistant
  • Peoria, AZ
National Provider Identifier
1689385692
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9966 Issued in AZ
Practice address
15396 N 83Rd Ave Ste E
Peoria, AZ 85381-5627
Phone
(480) 470-4000
Fax
(480) 686-8875
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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 9966 AZ Primary

Addresses

Primary practice location

15396 N 83Rd Ave Ste E
Peoria, AZ 85381-5627

Mailing address

15396 N 83Rd Ave Ste E
Peoria, AZ 85381-5627
Phone (480) 470-4000

Other practice location 1

15396 N 83rd Ave Ste 303
Peoria, AZ 85381-5622
Phone (480) 470-4000 ext. 338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20231114002216 AZ Practitioner - Physician Assistant 9931556875 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9966AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Verde Hematology Oncology LTD. CurrentSince Oct 10, 2023 Accepting new patients

Locations

14044 W Camelback Rd
Ste 118
Litchfield Pk, AZ 85340
Phone (623) 584-4882

9250 W Thomas Rd
Ste 150
Phoenix, AZ 85037
Phone (623) 478-8091

Interoperability endpoints

  • Direct secure messaging: micheleroberts@auua.allscriptsdirect.net

Organizations & group practices 4

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": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1689385692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE E",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815627",
            "telephone_number": "480-470-4000",
            "fax_number": "480-686-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE E",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815627",
            "telephone_number": "480-470-4000",
            "fax_number": "480-686-8875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15396 N 83rd Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853815622",
            "country_code": "US",
            "telephone_number": "480-470-4000 x338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MICHELE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.