Individual provider Active NPI

Kristina Michelle Roberson, DNP, FNP-C

  • Family Nurse Practitioner
  • Jamestown, NC
National Provider Identifier
1750410338
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005834 Issued in NC
Practice address
720 W Main St Ste a
Jamestown, NC 27282-9500
Phone
(336) 698-3157
Fax
(336) 698-3489
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 159859 NC
Family Nurse Practitioner 363LF0000X 5005834 NC Primary
Primary Care Nurse Practitioner 363LP2300X 5005834 NC

Addresses

Primary practice location

720 W Main St Ste a
Jamestown, NC 27282-9500

Mailing address

3980 Premier Dr Ste 110-1018
High Point, NC 27265-8408
Phone (336) 698-3157

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
I20121129000104 NC Practitioner - Nurse Practitioner 4981856838 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159859NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Prosper Healthcare and Consulting PLLC Family CurrentSince Oct 1, 2022 Accepting new patients
Mindful Innovations Primary Care PastSince Jul 10, 2022 Accepting new patients

Locations

1409 Yanceyville St
Ste C
Greensboro, NC 27405
Phone (336) 698-3157

4000 Ossi Ct
Ste 231
High Point, NC 27265

4000 Ossi Ct
High Point, NC 27265
Phone (336) 579-0708

3980 Premier Dr
Ste 1101018
High Point, NC 27265

720 W Main St
Ste A
Jamestown, NC 27282

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1750410338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 PREMIER DR STE 110-1018",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658408",
            "telephone_number": "336-698-3157",
            "fax_number": "336-698-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W MAIN ST STE A",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272829500",
            "telephone_number": "336-698-3157",
            "fax_number": "336-698-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "KRISTINA",
        "middle_name": "MICHELLE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "159859",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005834",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5005834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NC

Sources for this page

Verify at the official NPI Registry.