Individual provider Active NPI

Roberta S Hunter, M.D.

  • Family Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1801899125
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME55009 Issued in FL
Practice address
1430 SW Saint Lucie West Blvd
Ste 101
Port St Lucie, FL 34986-2134
Phone
(772) 877-3591
Fax
(561) 623-0613
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME55009 FL Primary

Addresses

Primary practice location

1430 SW Saint Lucie West Blvd
Ste 101
Port St Lucie, FL 34986-2134

Mailing address

1430 SW Saint Lucie West Blvd
Ste 101
Port St Lucie, FL 34986-2134
Phone (772) 877-3591

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080926000273 FL Practitioner - Internal MedicinePractitioner - Family Practice 4880761246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tradition Health and Wellness Clinic PLLCGroup PAC ID 8224477013, 7 clinicians

Practice addresses (Care Compare)

10198 SW Village Pkwy
Suite 105
Port St Lucie, FL 34987-2592
Phone (772) 934-4990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tradition Health and Wellness Clinic PLLC Family Medicine CurrentSince Dec 19, 2025 Accepting new patients

Locations

10198 SW Village Pkwy
Ste 105
Port St Lucie, FL 34987
Phone (772) 934-4990

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1801899125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SW SAINT LUCIE WEST BLVD",
            "address_2": "STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862134",
            "telephone_number": "772-877-3591",
            "fax_number": "561-623-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 SW SAINT LUCIE WEST BLVD",
            "address_2": "STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862134",
            "telephone_number": "772-877-3591",
            "fax_number": "561-623-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "ROBERTA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME55009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.