Individual provider Active NPI

Teri Lyn Roberts, APRN

  • Nurse Practitioner
  • Morehead, KY
National Provider Identifier
1891780193
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3010007 Issued in KY
Practice address
234 Medical Cir Ste 1
Morehead, KY 40351-1194
Phone
(606) 784-6641
Fax
(606) 780-2373
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A-071191 IA
Nurse Practitioner 363L00000X 3010007 KY Primary

Addresses

Primary practice location

234 Medical Cir Ste 1
Morehead, KY 40351-1194

Mailing address

234 Medical Cir Ste 1
Morehead, KY 40351-1194
Phone (606) 784-6641

Other identifiers 1

IdentifierTypeStateIssuer
3010007OtherKYKY MEDICAL LICENSE

Other names 1

  • Teri Lyn Osterkamp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160412002830 KY Practitioner - Nurse Practitioner 5092900654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Family Care LLCGroup PAC ID 5890101471, 12 clinicians
Community Family Clinic PLLCGroup PAC ID 7214940790, 14 clinicians
Casa San Pio Clinics of Appalachia LLCGroup PAC ID 2668639485, 10 clinicians

Practice addresses (Care Compare)

125 Foxglove Dr
Mount Sterling, KY 40353-9735
Phone (859) 520-9292

125 Foxglove Dr D
Mount Sterling, KY 40353-9735
Phone (859) 498-3333

17 Miller Dr
Owingsville, KY 40360-2212
Phone (606) 674-3033

638 E College Ave
Stanton, KY 40380-2363
Phone (606) 318-3500

784 Hwy 36
Frenchburg, KY 40322-8123
Phone (606) 768-9190

Hospital & facility affiliations

  • Saint Joseph Mount Sterling Hospital, Mount Sterling, KY, CCN 180064
  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A-071191IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Family Clinic PLLC CurrentSince Dec 1, 2021 Accepting new patients
Montgomery Family Care LLC CurrentSince Mar 1, 2022 Accepting new patients
Community Family Clinic PLLC Nurse Practitioner CurrentSince Dec 1, 2021 Accepting new patients
Community Family Clinic PLLC Nurse Practitioner Current Accepting new patients
Casa San Pio Clinics of Appalachia, LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

784 Highway 36
Frenchburg, KY 40322
Phone (606) 768-9190

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

125 Foxglove Dr
Ste B
Mt Sterling, KY 40353
Phone (859) 432-5641

125 Foxglove Dr
Ste D
Mt Sterling, KY 40353
Phone (859) 498-3333

632 Slate Ave
Ste 1
Owingsville, KY 40360

17 Miller Dr
Owingsville, KY 40360
Phone (606) 674-3033

390 S Ky 7
Sandy Hook, KY 41171
Phone (606) 738-5155

638 E College Ave
#B
Stanton, KY 40380
Phone (606) 318-3500

Interoperability endpoints

  • Direct secure messaging: teri.roberts@commfam.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1891780193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MEDICAL CIR STE 1",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511194",
            "telephone_number": "606-784-6641",
            "fax_number": "606-780-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MEDICAL CIR STE 1",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511194",
            "telephone_number": "606-784-6641",
            "fax_number": "606-780-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TERI",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-071191",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3010007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAL LICENSE",
            "identifier": "3010007",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "OSTERKAMP",
            "middle_name": "LYN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.