Individual provider Active NPI

Karyn F. Robertson, PA

  • Surgical Physician Assistant
  • Mesa, AZ
National Provider Identifier
1871590661
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1339 Issued in AZ
Practice address
7165 E University Dr Ste 183
Mesa, AZ 85207-6415
Phone
(480) 668-5000
Fax
(480) 668-5065
NPI assigned
Jul 7, 2005
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1339 AZ Primary

Addresses

Primary practice location

7165 E University Dr Ste 183
Mesa, AZ 85207-6415

Mailing address

7165 E University Dr Ste 187
Mesa, AZ 85207-6415
Phone (480) 668-5000

Other identifiers 1

IdentifierTypeStateIssuer
109160MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220202001887 AZ Practitioner - Physician Assistant 9931186004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7165 E University Dr
Mesa, AZ 85207-6415
Phone (480) 668-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.11 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002551NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Thoracic & Cardiovascular Surgeons, LTD Past Accepting new patients
Jeffrey a. Copoloff, PLLC Past Accepting new patients
Western Vascular Institute PLLC PastSince Mar 13, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karyn.robertson.p1@direct.wvi.nextgenshare.com

Organizations & group practices 3

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1871590661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7165 E UNIVERSITY DR STE 187",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076415",
            "telephone_number": "480-668-5000",
            "fax_number": "480-428-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 E UNIVERSITY DR STE 183",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076415",
            "telephone_number": "480-668-5000",
            "fax_number": "480-668-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KARYN",
        "middle_name": "F.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "1339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109160",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.