Individual provider Active NPI

Jill Ann Roberts, APN

  • Acute Care Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1851309173
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
513933 Issued in TX
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

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
146749003MedicaidTX
752616977096OtherTXTRICARE
TIN PLUS 096OtherTXTRICARE
146749002MedicaidTX
75-2616977-123OtherTXTRICARE
8N8980OtherTXBCBS PROVIDER #
8Y9250OtherTXBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000635 TX Practitioner - Nurse Practitioner 9537133715 Reassigns benefits to 1 organization

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
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

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

LicenseStateTypeSpecialty
513933TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jan 3, 2012 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 3, 2012 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.