JASON ROBERTS NP NPI 1003269895

NPI Information

  • NPI: 1003269895
  • Provider Name: JASON ROBERTS, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 KIRTS BLVD STE 200
    TROY, MI
    ZIP 48084
  • Phone: (248) 824-6500

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NPI Details

Jason Roberts, NP is a family nurse practitioner in Troy, MI. Jason Roberts, NP NPI is 1003269895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 KIRTS BLVD STE 200
TROY, MI
ZIP 48084-140
Phone: (248) 824-6500

The NPI 1003269895 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 enumeration date for this NPI number is 7/18/2016 and was last updated on 7/10/2025.

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
1363L00000XNurse Practitioner4704219864MICHIGANNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health4704219864MICHIGANNo
3363LF0000XNurse PractitionerFamily4704219864MICHIGANYes

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: 11/21/2025

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