| Michele Ann Roberts, P C | |
|
13612 Big Bend Rd Valley Park MO 63088-1447 | |
| (314) 578-2100 | |
| (636) 333-4510 |
| Full Name | Michele Ann Roberts, P C |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 13612 Big Bend Rd, Valley Park, Missouri |
| Authorized Official Name and Position | Michele A Roberts (OWNER) |
| Authorized Official Contact | 3145782100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Ann Roberts, P C Po Box 323 Ballwin MO 63022-0323 Ph: (314) 578-2100 | Michele Ann Roberts, P C 13612 Big Bend Rd Valley Park MO 63088-1447 Ph: (314) 578-2100 |
| NPI Number | 1811044233 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 01/18/2026 |
| Certification Date | 01/18/2026 |
| Medicare PECOS PAC ID | 8527162684 |
|---|---|
| Medicare Enrollment ID | O20070329000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811044233 | NPI | - | NPPES |
| 428953418 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | (* (Not Available)) | Primary |
| Provider Name | Michele A Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467451708 PECOS PAC ID: 6709980865 Enrollment ID: I20070329000094 |
| Provider Name | Matthew C Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598423543 PECOS PAC ID: 0648661652 Enrollment ID: I20211230001720 |
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