Individual provider Active NPI

Lois Joyce Roberson, FNP-C

  • Nurse Practitioner
  • Plymouth, NC
National Provider Identifier
1710417852
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5009564 Issued in NC
Practice address
1032 US Highway 64 E
Plymouth, NC 27962-9215
Phone
(242) 793-4500
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5009564 NC Primary

Addresses

Primary practice location

1032 US Highway 64 E
Plymouth, NC 27962-9215

Mailing address

PO Box 158
Jamesville, NC 27846-0158

Other names 1

  • Lois Peterson Roberson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20171010001192 NC Practitioner - Nurse Practitioner 2668747163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Housing and Community Services Corporation 14 clinicians

Practice addresses (Care Compare)

958 US Hwy 64 E
Plymouth, NC 27962-9216
Phone (252) 793-4135

Hospital & facility affiliations

  • Washington County Hosp Inc Hospital, Plymouth, NC, CCN 341314

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Housing & Community Services Corporation CurrentSince Oct 1, 2020 Accepting new patients
Centennial Housing & Community Services Corporation CurrentSince Oct 1, 2020 Accepting new patients
Vidant Medical Group LLC CurrentSince May 1, 2019 Accepting new patients
Centennial Housing & Community Services Corporation Past Accepting new patients
Centennial Housing & Community Services Corporation PastSince Sep 1, 2020 Accepting new patients
Centennial Housing & Community Services Corporation Past Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

958 US Highway 64 E
Plymouth, NC 27962
Phone (252) 793-3523

1380 Cowell Farm Rd
Washington, NC 27889
Phone (252) 946-0900

800 Park St
Williamston, NC 27892
Phone (252) 752-1622

Interoperability endpoints

  • Direct secure messaging: lroberson.wrmc-affinity@direct.wrmc.nchie.net

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 1

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1710417852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "JAMESVILLE",
            "state": "NC",
            "postal_code": "278460158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 US HIGHWAY 64 E",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629215",
            "telephone_number": "242-793-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "LOIS",
        "middle_name": "JOYCE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIS",
            "last_name": "ROBERSON",
            "middle_name": "PETERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, NC

Sources for this page

Verify at the official NPI Registry.