LEEANN RACHELLE ROBERTS NP NPI 1831710581

NPI Information

NPI: 1831710581
Provider Name: LEEANN RACHELLE ROBERTS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5921 W STATE ROAD 46
BLOOMINGTON, IN
ZIP 47404
Phone: (812) 935-8866
Get Directions

Leeann Rachelle Roberts, NP is a family nurse practitioner in Bloomington, IN with 8 years of experience. Leeann Rachelle Roberts, NP NPI is 1831710581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5921 W STATE ROAD 46
BLOOMINGTON, IN
ZIP 47404-359
Phone: (812) 935-8866

The NPI 1831710581 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Testing for presence of drug (HCPCS:80305)

The enumeration date for this NPI number is 5/5/2020 and was last updated on 2/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	28216246A	INDIANA	Yes
2	363LF0000X	Nurse Practitioner	Family	3014858	KENTUCKY	No
3	363LF0000X	Nurse Practitioner	Family	209.022118	ILLINOIS	No
4	363LF0000X	Nurse Practitioner	Family	71010017A	INDIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100668200	MEDICAID	KENTUCKY
2	PDZ000000500406	OTHER	KENTUCKY	AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER
3	7427472	OTHER		UNITED HEALTHCARE PROVIDER ID NUMBER
4	2234405	OTHER	KENTUCKY	WELLCARE OF KENTUCKY PROVIDER ID NUMBER
5	284847	OTHER		SIHO PROVIDER ID NUMBER
6	300037929	MEDICAID	INDIANA
7	6246517	OTHER		AETNA PROVIDER ID NUMBER
8	000001373756	OTHER		ANTHEM PROVIDER ID NUMBER
9	3014858	OTHER	KENTUCKY	STATE LICENSE
10	CS2020500316	OTHER		CARESOURCE PROVIDER ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »