Active NPI
Michele Roberts, PA-C
- Physician Assistant
- Peoria, AZ
National Provider Identifier
1689385692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9966
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9966 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palo Verde Hematology Oncology LTD. | Current | 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
- 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.
-
- Hematology & Oncology Physician
- Glendale, AZ
- NPI 1447272372
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1326825092
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1750344347
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.