Active NPI
Michelle Ruth Roberts, MSN ANESTHESIA
- Certified Registered Nurse Anesthetist
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1126988
- Practice address
- 1201 Pleasant Valley Rd
Owensboro, KY 42303-9811 - Phone
- (214) 687-0001
- Fax
- (972) 518-2100
- NPI assigned
- Dec 16, 2015
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1126988 | KY | Primary |
Addresses
Primary practice location
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Mailing address
1712 Farmview Dr Apt B
Owensboro, KY 42301-6703
Phone (270) 993-7448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
217 S 3Rd St
Danville, KY 40422-1823
Phone (853) 893-1000
8885 State Rd
Suite 237
Tell City, IN 47586-8567
Phone (812) 547-7011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1126988 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ohio County Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Central Ohio Anesthesia LLC | Current | Accepting new patients | |
| Sda Consultants PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| Ad of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Kentucky, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Central Ohio Anesthesia, LLC | Past | Accepting new patients |
Locations
500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683
8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300
1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
225 Abraham Flexner Way
Ste 700
Louisville, KY 40202
Phone (502) 562-0398
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1336605500
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Owensboro, KY
- NPI 1376415596
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1437196300
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386938900
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hartford, KY
- NPI 1740812031
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Owensboro, KY
- NPI 1437961828
-
- Anesthesiology Physician
- Tell City, IN
- NPI 1679028799
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1750746848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 FARMVIEW DR APT B",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423016703",
"telephone_number": "270-993-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 PLEASANT VALLEY RD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423039811",
"telephone_number": "214-687-0001",
"fax_number": "972-518-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "MICHELLE",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "MSN ANESTHESIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-16",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1126988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.