Individual provider Active NPI

Abigail McRoberts

  • Student in an Organized Health Care Education/Training Program
  • Marysville, OH
National Provider Identifier
1699533893
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1001 W 5TH St
Marysville, OH 43040-8666
Phone
(937) 644-8637
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1001 W 5TH St
Marysville, OH 43040-8666

Mailing address

1410 Neil Ave Apt A4
Columbus, OH 43201-2622
Phone (574) 386-4323

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118003237 OH Practitioner - Optometry 8729513411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truitt Andtruitt Optometrists IncGroup PAC ID 8325171002, 5 clinicians

Practice addresses (Care Compare)

1001 W 5TH St
Marysville, OH 43040-8666
Phone (937) 644-8637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7309OHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Truitt &Truitt Optometrists Inc CurrentSince Aug 15, 2024 Accepting new patients
Vision Source Marysville PastSince Mar 17, 2024 Accepting new patients

Locations

1001 W 5th St
Marysville, OH 43040
Phone (937) 644-8637

Organizations & group practices 2

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1699533893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 NEIL AVE APT A4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012622",
            "telephone_number": "574-386-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W 5TH ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408666",
            "telephone_number": "937-644-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCROBERTS",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.