Aquila Roberts, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Frederick, Colorado. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Range Behavioral Health and her current practice location is
5901 Majestic St, Frederick, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 507-7351.
Aquila Roberts is licensed to practice in Colorado (license number 0995582) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811478225.
Provider's Profile
| Full Name | Aquila Roberts |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 5901 Majestic St, Frederick, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Aquila Roberts graduated from nursing school in 2020
NPI Data:
- NPI Number: 1811478225
- Provider Enumeration Date: 08/23/2018
- Last Update Date: 08/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537584107
- Enrollment ID: I20200730001988
Medical Identifiers
Medical identifiers for Aquila Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811478225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 1637977 (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0995582 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Range Behavioral Health | 1951299486 | 12 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Aquila Roberts allows following entities to bill medicare on her behalf.
| Entity Name | North Range Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669431524
PECOS PAC ID: 1951299486
Enrollment ID: O20040316000674 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aquila Roberts is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Aquila Roberts,
1300 N 17th Ave,
Greeley, CO 80631-9584
Ph: (970) 347-2120 | Aquila Roberts,
5901 Majestic St,
Frederick, CO 80504-6933
Ph: (720) 507-7351 |
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