Individual provider Active NPI

Ashley Michelle Roberts

  • Family Nurse Practitioner
  • Broken Arrow, OK
National Provider Identifier
1932683984
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
103283 Issued in OK
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

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190710002456 OK Practitioner - Nurse Practitioner 0446585640 Reassigns benefits to 2 organizations
I20230807001002 TX Practitioner - Nurse Practitioner 0446585640 Reassigns benefits to 1 organization

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 100Reported as group
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

LicenseStateTypeSpecialty
103283OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Cancer Specialists and Research Institute LLC CurrentSince Sep 30, 2024 Accepting new patients
Oklahoma Cancer Specialists and Research Institute LLC Current Accepting new patients
Pawnee Indian Health Center CurrentSince Jun 27, 2023 Accepting new patients
Tulsa Cancer Institute PLLC Current Accepting new patients
Medrite Health LLC CurrentSince Feb 25, 2019 Accepting new patients
Oklahoma Cancer Specialists and Research Institute, LLC CurrentSince Sep 30, 2024 Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 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.

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

Verify at the official NPI Registry.