Courtney Brianne Roberson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3009 N Cypress St
Wichita, KS 67226-4003

Phone

(316) 440-1010

NPI assigned

Feb 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: courtney.roberson.1@15693.direct.athenahealth.com

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.

• Allergy & Asthma Center of Duncanville PA

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  • Duncanville, TX
  • NPI 1275542227
  Medicare reassignment NPD (past)
• Faac, PA

  • Allergy Physician
  • Flower Mound, TX
  • NPI 1730290099
  Medicare reassignment
• Kma Radiology, PA

  • Body Imaging Physician
  • Dallas, TX
  • NPI 1831201888
  NPD (past)

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1851890867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N CYPRESS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264003",
            "telephone_number": "316-440-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N CYPRESS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264003",
            "telephone_number": "316-440-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "COURTNEY",
        "middle_name": "BRIANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Roath
• Jason Michael Robben, RN
• Ashley S Robbins, MD
• Sadie Dawn Robbins
• Debra Ann Robe, LCMFT
• Michelle Young Roberson, LCPC
• Robert a Sweet MD PA
• Robert J Doel Vamc
• Robert J Dole Medical Center and Regional Office
• Robert J Dole Vamc

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.