Jessica R Roberts, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024184077 Issued in VA

Practice address

6701 Peters Creek Rd Ste 110
Roanoke, VA 24019-4060

Phone

(800) 765-7130

Fax

(201) 228-9980

NPI assigned

Apr 9, 2022

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians

Eventus Premier Healthcare LLCGroup PAC ID 6305381013, 105 clinicians

Eventus WH Mid-Atlantic Care LLCGroup PAC ID 8921534744, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eventus Premier Healthcare LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Midlothian, VA
  • NPI 1437998309

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Eventus WH Mid-Atlantic Care LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Midlothian, VA
  • NPI 1063253490
  Medicare reassignment Care Compare group NPD
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312

  VA

  Medicare reassignment Care Compare group NPD
• Eventus WH Mid-Atlantic, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Midlothian, VA
  • NPI 1700627130
  Medicare reassignment NPD
• Premier Geriatric Solutions PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Roanoke, VA
  • NPI 1568093672
  Medicare reassignment NPD
• Premier Psychiatric Solutions PLLC

  • Psychiatry Physician
  • Roanoke, VA
  • NPI 1053000430
  Medicare reassignment NPD
• Eventus WH PLLC Care, LLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1639990658

  VA

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Princeton Community Hospital Assn., Inc.

  • General Acute Care Hospital
  • Princeton, WV
  • NPI 1558313213
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1750023875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 PETERS CREEK RD STE 110",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194060",
            "telephone_number": "800-765-7130",
            "fax_number": "201-228-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 PETERS CREEK RD STE 110",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194060",
            "telephone_number": "800-765-7130",
            "fax_number": "201-228-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024184077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568093672",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert C Keeley MD (Pulmonary Medicine Associates)
• Robert L. Murdock, MD, PC
• Roberts Home Medical LLC
• Hannah Roberts, PHARMD
• Jenna Marie Roberts, LPTA
• Polly Sheffield Roberts, PH.D, L.P.C.
• William Roberts
• Dana Renee Robertson, LPTA
• Lindsay Nicole Robertson
• Logan G Robertson

• Psychiatric/Mental Health Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.