Kellie Michele Roby, AGPCNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1217213 Issued in TX

Practice address

2931 Perryton Pkwy Ste B
Pampa, TX 79065-2823

Phone

(806) 639-5916

Fax

(806) 639-5882

NPI assigned

Nov 13, 2025

Last updated

Feb 24, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hemphill County Hospital District

  dba Canadian Family Physicians

  • Rural Health Clinic/Center
  • Canadian, TX
  • NPI 1720404924
  Medicare reassignment

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1821958794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S 4TH ST",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143315",
            "telephone_number": "806-323-1100",
            "fax_number": "806-323-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 PERRYTON PKWY STE B",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652823",
            "telephone_number": "806-639-5916",
            "fax_number": "806-639-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBY",
        "first_name": "KELLIE",
        "middle_name": "MICHELE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1217213",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1217213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Grace Rayburn
• Leah Dawn Redwine, M.S. CCC-SLP
• Rene P Grabato MD PA (The Urology Clinic)
• Raine Reyes, M. ED.
• Sara Richison
• Roden Investments Inc (Pampa Physical Therapy)
• Jodi B Roden, PT
• Maria Rodriguez
• Robin Elizabeth Rothrock, MD
• Tanaka Ruzvidzo, APRN-CNP

• Gerontology Nurse Practitioner in Pampa, TX
• Providers in Pampa, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.