Active NPI
Jill Ann Roberts, APN
- Acute Care Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 513933
- Practice address
- 703 S Fleishel Ave Ste 5000
Tyler, TX 75701-2015 - Phone
- (903) 606-7525
- NPI assigned
- Aug 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 513933 | TX | Primary |
| Nurse Practitioner | 363L00000X | AP105649 | TX |
Addresses
Primary practice location
703 S Fleishel Ave Ste 5000
Tyler, TX 75701-2015
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450
Other practice location 1
130 Tankersley Rd
MT Pleasant, TX 75455-1530
Phone (903) 606-7525
Other practice location 2
2001 W Ferguson Rd
MT Pleasant, TX 75455-2925
Phone (903) 606-7525
Other practice location 3
1505 TX-19 S
Athens, TX 75751
Phone (903) 675-1725
Other practice location 4
910 E Houston St
Ste 530
Tyler, TX 75702-8369
Phone (903) 531-5560
Other practice location 5
3201 S Loop 256
Palestine, TX 75801-6901
Phone (903) 727-2925
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146749003 | Medicaid | TX | |
| 752616977096 | Other | TX | TRICARE |
| TIN PLUS 096 | Other | TX | TRICARE |
| 146749002 | Medicaid | TX | |
| 75-2616977-123 | Other | TX | TRICARE |
| 8N8980 | Other | TX | BCBS PROVIDER # |
| 8Y9250 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Arkansas College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
910 E Houston St
550 Christus Trinity Clinic
Tyler, TX 75702-8366
Phone (903) 510-8718
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 513933 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Past | Accepting new patients | |
| Trinity Clinic | Past | Accepting new patients |
Locations
1505 State Highway 19 S
Athens, TX 75751
Phone (903) 675-1725
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
3201 S Loop 256
Palestine, TX 75801
Phone (903) 723-0330
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
910 E Houston St
Ste 530
Tyler, TX 75702
Phone (903) 525-2992
703 S Fleishel Ave
Ste 5000
Tyler, TX 75701
Phone (903) 525-2992
910 E Houston St
Ste 550
Tyler, TX 75702
Phone (903) 510-8718
612 S Fleishel Ave
Tyler, TX 75701
Phone (903) 531-5560
Interoperability endpoints
- jroberts7148@christushealth.direct-ci.net
Organizations & group practices 4
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
dba Trinity Clinic Family Practice
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1851309173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 S FLEISHEL AVE STE 5000",
"city": "TYLER",
"state": "TX",
"postal_code": "757012015",
"telephone_number": "903-606-7525"
}
],
"practiceLocations": [
{
"address_1": "130 Tankersley Rd",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "TX",
"postal_code": "754551530",
"country_code": "US",
"telephone_number": "903-606-7525",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 W Ferguson Rd",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "TX",
"postal_code": "754552925",
"country_code": "US",
"telephone_number": "903-606-7525",
"fax_number": "903-606-1482",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1505 TX-19 S",
"address_purpose": "LOCATION",
"city": "ATHENS",
"state": "TX",
"postal_code": "75751",
"country_code": "US",
"telephone_number": "903-675-1725",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 E Houston St",
"address_2": "Ste 530",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028369",
"country_code": "US",
"telephone_number": "903-531-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3201 S Loop 256",
"address_purpose": "LOCATION",
"city": "Palestine",
"state": "TX",
"postal_code": "758016901",
"country_code": "US",
"telephone_number": "903-727-2925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "JILL",
"middle_name": "ANN",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "513933",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP105649",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146749003",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "752616977096",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "TIN PLUS 096",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146749002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "75-2616977-123",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "8N8980",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8Y9250",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.