Nicole Ann Roberts, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

235981 Issued in AZ

Practice address

5717 S Highway 95 Ste 4
Fort Mohave, AZ 86426-6050

Phone

(928) 577-2727

Fax

(888) 498-4630

NPI assigned

Aug 8, 2019

Last updated

Apr 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Ann Perez Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley View Home Health Home health agency, Bullhead City, AZ, CCN 037412
• River Valley Home Health Home health agency, Lake Havasu, AZ, CCN 037402
• Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117
• Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3291/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/FEJHCD/Endpoint/FEJHCD
• Direct secure messaging: nicole.roberts.1@28349.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue River Health & Wellness, PLLC

  • Family Nurse Practitioner
  • Fort Mohave, AZ
  • NPI 1356073852
  Medicare reassignment NPD Authorized official
• Prescott Healthcare Solutions LLC

  dba Optima Medical

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment Care Compare group NPD (past)
• Lakeside Heart and Vascular Center PLLC

  • Interventional Cardiology Physician
  • Lake Havasu City, AZ
  • NPI 1801194352
  Medicare reassignment NPD
• Tucson Pain Institute PC

  • Pain Medicine (Anesthesiology) Physician
  • Fort Mohave, AZ
  • NPI 1295148856
  Medicare reassignment NPD
• Paragon Physical Therapy and Rehab, LLC

  dba Paragon Healthcare of Arizona, LLC

  • Physical Therapy Clinic/Center
  • Bullhead City, AZ
  • NPI 1538694104
  Care Compare group
• Executive Cardiac Arrhythmia Solutions, Inc

  dba The Heart Rhythm Institute of Arizona

  • Clinical Cardiac Electrophysiology Physician
  • Phoenix, AZ
  • NPI 1588109573
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arizona in-Home Partner-II, LLC

  dba Valley View Home Health

  • Home Health Agency
  • Bullhead City, AZ
  • NPI 1265979033
  Care Compare affiliation
• Bullhead City Hospital Corporation

  dba Western Arizona Regional Medical Center

  • General Acute Care Hospital
  • Bullhead City, AZ
  • NPI 1255302766
  Care Compare affiliation
• Bullhead City Hospital Corporation

  dba Fox Creek Urgent Care

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
  • NPI 1780996223

  Hospital

  Care Compare affiliation
• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation
• Mohave Healthcare, Inc.

  dba River Valley Home Health

  • Home Health Agency
  • Lake Havasu City, AZ
  • NPI 1578947842
  Care Compare affiliation
• PHC-Fort Mohave Inc

  dba Valley View Medical Center

  • General Acute Care Hospital
  • Fort Mohave, AZ
  • NPI 1811086994
  Care Compare affiliation

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1972158624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 S HIGHWAY 95 STE 4",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266050",
            "telephone_number": "928-577-2727",
            "fax_number": "888-498-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 S HIGHWAY 95 STE 4",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266050",
            "telephone_number": "928-577-2727",
            "fax_number": "888-498-4630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Hway 95 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864427802",
            "country_code": "US",
            "telephone_number": "928-299-5333",
            "fax_number": "928-299-5333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3015 Hway 95 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864424334",
            "country_code": "US",
            "telephone_number": "928-763-2001",
            "fax_number": "928-763-2038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1402 Bailey Ave",
            "address_purpose": "LOCATION",
            "city": "Needles",
            "state": "CA",
            "postal_code": "923633104",
            "country_code": "US",
            "telephone_number": "760-326-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012386",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "235981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PEREZ",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Nurse Practitioner in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.