Individual provider Active NPI

Amy Elizabeth Roberts, ANP/GNP

  • Gerontology Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1912205154
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5005132 Issued in NC
Practice address
90 Southside Ave
Suite 350
Asheville, NC 28801-4160
Phone
(828) 277-4810
NPI assigned
Mar 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5005132 NC
Adult Health Nurse Practitioner 363LA2200X 5005132 NC
Primary Care Nurse Practitioner 363LP2300X 5005132 NC
Gerontology Nurse Practitioner 363LG0600X 5005132 NC Primary

Addresses

Primary practice location

90 Southside Ave
Suite 350
Asheville, NC 28801-4160

Mailing address

90 Southside Ave
Asheville, NC 28801-4160

Other practice location 1

321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 757-5504

Other identifiers 1

IdentifierTypeStateIssuer
1912205154MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aroberts107766@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110907000927 NC Practitioner - Nurse Practitioner 1658541396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Physiatry Services NC PLLCGroup PAC ID 1759805625, 12 clinicians

Practice addresses (Care Compare)

414 Fayetteville St
FL 4
Raleigh, NC 27601-1793
Phone (877) 544-4446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5005132NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Physiatry Services NC PLLC CurrentSince Oct 20, 2025 Accepting new patients
SNF Physiatry Services PA PLLC Past Accepting new patients

Locations

414 Fayetteville St
Fl 4
Raleigh, NC 27601
Phone (347) 860-5351

185 Route 70
Ste 302
Toms River, NJ 08755
Phone 7328130799105

Interoperability endpoints

  • Direct secure messaging: aroberts107766@direct.unc.nchie.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1299888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1912205154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SOUTHSIDE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SOUTHSIDE AVE",
            "address_2": "SUITE 350",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014160",
            "telephone_number": "828-277-4810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Mulberry St SW",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455720",
            "country_code": "US",
            "telephone_number": "828-757-5504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "ANP/GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-12",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005132",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5005132",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5005132",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5005132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912205154",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aroberts107766@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "321 Mulberry St SW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.