Active NPI
Elle Roberts
- Physician Assistant
- Granbury, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18330
- Practice address
- 1204 Medical Plaza CT
Granbury, TX 76048-5653 - Phone
- (817) 573-5688
- Fax
- (817) 415-0722
- NPI assigned
- Dec 6, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18330 | TX | Primary |
| Physician Assistant | 363A00000X | 12324567890 | WV |
Addresses
Primary practice location
1204 Medical Plaza CT
Granbury, TX 76048-5653
Mailing address
47 Hill St
Logan, OH 43138-1509
Other practice location 1
47 Hill St
Logan, OH 43138-1509
Phone (123) 456-7890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 Medical Plaza CT
Granbury, TX 76048-5653
Phone (682) 529-8030
1350 S Main St
Suite 1600
Fort Worth, TX 76104-7611
Phone (817) 702-9701
1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701
1500 S Main St
Fort Worth, TX 76104-4917
1500 S Main St FL
1 Urgent Care Center
Fort Worth, TX 76104-4917
Phone (817) 702-1451
200 Westpark Way
Euless, TX 76040-3963
Phone (817) 488-8998
601 W Terrell Ave
Fort Worth, TX 76104-3243
Phone (817) 702-3100
6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245
920 Santa Fe Dr
Suite 103
Weatherford, TX 76086-5865
Phone (817) 339-8855
Hospital & facility affiliations
- JPS Health Network
- Lake Granbury Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18330 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Current | Accepting new patients |
Locations
1204 Medical Plaza Ct
Granbury, TX 76048
Phone (817) 573-5688
6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245
920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855
Interoperability endpoints
- elle.roberts.p1@direct.thc.nextgenshare.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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Psychiatry Physician
- Euless, TX
- NPI 1023423514
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1477628873
-
- Obstetrics & Gynecology Physician
- Willow Park, TX
- NPI 1073679379
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1821026352
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Granbury, TX
- NPI 1114998911
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1932976263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 HILL ST",
"city": "LOGAN",
"state": "OH",
"postal_code": "431381509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 MEDICAL PLAZA CT",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485653",
"telephone_number": "817-573-5688",
"fax_number": "817-415-0722"
}
],
"practiceLocations": [
{
"address_1": "47 Hill St",
"address_purpose": "LOCATION",
"city": "Logan",
"state": "OH",
"postal_code": "431381509",
"country_code": "US",
"telephone_number": "123-456-7890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "ELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-06",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA18330",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "12324567890",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.