Active NPI
Ashley Michelle Roberts
- Family Nurse Practitioner
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 103283
- Practice address
- 2950 S Elm PL
Broken Arrow, OK 74012-7877 - Phone
- (918) 449-4061
- Fax
- (918) 449-4075
- NPI assigned
- Sep 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 103283 | OK | Primary |
Addresses
Primary practice location
2950 S Elm PL
Broken Arrow, OK 74012-7877
Mailing address
109 W 6TH St
Okmulgee, OK 74447-5015
Phone (918) 779-0709
Other practice location 1
4026 W Twin Oaks Pl
Broken Arrow, OK 74011-1219
Phone (214) 578-2049
Other practice location 2
109 W 6th St
Okmulgee, OK 74447
Phone (918) 779-0709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12697 E 51St St
Tulsa, OK 74146-6236
Phone (918) 505-3200
Merit-based Incentive Payment System (MIPS)
- Final score
- 91 of 100
- Quality
- 86.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103283 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Cancer Specialists and Research Institute LLC | Current | Accepting new patients | |
| Oklahoma Cancer Specialists and Research Institute LLC | Current | Accepting new patients | |
| Pawnee Indian Health Center | Current | Accepting new patients | |
| Tulsa Cancer Institute PLLC | Current | Accepting new patients | |
| Medrite Health LLC | Current | Accepting new patients | |
| Oklahoma Cancer Specialists and Research Institute, LLC | Current | Accepting new patients | |
| Pawnee IHS Pharmacy | Past | Accepting new patients | |
| Warren Clinic Inc | Past | Accepting new patients | |
| Medrite Health LLC | Past | Accepting new patients |
Locations
109 W 6th St
Okmulgee, OK 74447
Phone (918) 756-3114
1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517
12697 E 51st St
Tulsa, OK 74146
Phone (918) 505-3200
Organizations & group practices 9
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.
-
- MOHS-Micrographic Surgery Physician
- Broken Arrow, OK
- NPI 1104291236
-
- Family Medicine Physician
- Okmulgee, OK
- NPI 1487017398
-
- Hematology & Oncology Physician
- Tulsa, OK
- NPI 1962876045
-
- Surgical Oncology Physician
- Tulsa, OK
- NPI 1194396721
-
- Hematology & Oncology Physician
- Tulsa, OK
- NPI 1508172982
-
- Family Medicine Physician
- Haskell, OK
- NPI 1144704107
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Pawnee, OK
- NPI 1124178017
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1932683984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 6TH ST",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744475015",
"telephone_number": "918-779-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 S ELM PL",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127877",
"telephone_number": "918-449-4061",
"fax_number": "918-449-4075"
}
],
"practiceLocations": [
{
"address_1": "4026 W Twin Oaks Pl",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740111219",
"country_code": "US",
"telephone_number": "214-578-2049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 W 6th St",
"address_purpose": "LOCATION",
"city": "Okmulgee",
"state": "OK",
"postal_code": "74447",
"country_code": "US",
"telephone_number": "918-779-0709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "ASHLEY",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-15",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "103283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.