Individual provider Active NPI

Kristen Marie Roberts, APRN

  • Family Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1790237196
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9287113 Issued in FL
Practice address
840 E Semoran Blvd Ste 200
Apopka, FL 32703-5517
Phone
(407) 900-1966
Fax
(407) 647-1930
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9287113 FL Primary

Addresses

Primary practice location

840 E Semoran Blvd Ste 200
Apopka, FL 32703-5517

Mailing address

202 N Park Ave
Apopka, FL 32703-4148
Phone (407) 889-4711

Other practice location 1

202 N Park Ave
Apopka, FL 32703-4148
Phone (407) 894-7118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170121000326 FL Practitioner - Nurse Practitioner 3274815576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

840 E Semoran Blvd
Suite 200
Apopka, FL 32703-5517
Phone (407) 900-1966

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Pam Health Rehabilitation Hospital of Tavares Inpatient rehabilitation facility, Tavares, FL, CCN 103056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9287113FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Telehealth, LLC Family CurrentSince Aug 1, 2024 Accepting new patients

Locations

333 W Main St
Apopka, FL 32712
Phone (407) 814-4962

840 E Semoran Blvd
Ste 200
Apopka, FL 32703
Phone (407) 900-1966

Organizations & group practices 1

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 3

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1790237196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N PARK AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034148",
            "telephone_number": "407-889-4711",
            "fax_number": "407-889-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E SEMORAN BLVD STE 200",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035517",
            "telephone_number": "407-900-1966",
            "fax_number": "407-647-1930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 N Park Ave",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327034148",
            "country_code": "US",
            "telephone_number": "407-894-7118",
            "fax_number": "407-889-7742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9287113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.