| Nicole Ann Roberts, FNP | |
|
5717 S Highway 95 Ste 4, Fort Mohave, AZ 86426-6050 | |
| (928) 577-2727 | |
| (888) 498-4630 |
| Full Name | Nicole Ann Roberts |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 5717 S Highway 95 Ste 4, Fort Mohave, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972158624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95012386 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 235981 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley View Medical Center | Fort mohave, AZ | Hospital |
| Western Arizona Regional Medical Center | Bullhead city, AZ | Hospital |
| Kingman Regional Medical Center | Kingman, AZ | Hospital |
| Entity Name | Lakeside Heart And Vascular Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801194352 PECOS PAC ID: 4587832779 Enrollment ID: O20110713000658 |
| Entity Name | Tucson Pain Institute Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295148856 PECOS PAC ID: 2961622873 Enrollment ID: O20140926002181 |
| Entity Name | Blue River Health & Wellness Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356073852 PECOS PAC ID: 8325429350 Enrollment ID: O20220721001592 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Ann Roberts, FNP 5717 S Highway 95 Ste 4, Fort Mohave, AZ 86426-6050 Ph: (928) 577-2727 | Nicole Ann Roberts, FNP 5717 S Highway 95 Ste 4, Fort Mohave, AZ 86426-6050 Ph: (928) 577-2727 |
Jill Salem, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4017 S Dixon Dr, Fort Mohave, AZ 86426 Phone: 928-234-8277 | |
Mr. Ian Lloyd Ruiz Baccay, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426 Phone: 928-704-6400 | |
Dilyara Cannon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-768-2874 | |
Kristen Peddycord, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-2273 | |
Deborah Ann Hughson, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5263 Hwy 95, Fort Mohave, AZ 86426 Phone: 928-704-6400 Fax: 928-768-1150 | |
Theresa Marin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln, Fort Mohave, AZ 86426 Phone: 928-788-8000 | |
Mr. Larry Lee Bousquet Ii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 E Joy Ln # 1, Fort Mohave, AZ 86426 Phone: 928-768-9496 Fax: 928-768-1943 |