ROBERTA JO MYERS RN NP-C NPI 1083808844

NPI Information

  • NPI: 1083808844
  • Provider Name: ROBERTA JO MYERS, RN, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 838 E WOOSTER ST
    BOWLING GREEN, OH
    ZIP 43402
  • Phone: (419) 372-2271

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NPI Details

Roberta Jo Myers, RN, NP-C is a family nurse practitioner in Bowling Green, OH. Roberta Jo Myers, RN, NP-C NPI is 1083808844. 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:

838 E WOOSTER ST
BOWLING GREEN, OH
ZIP 43402-186
Phone: (419) 372-2271
Fax: (419) 372-8010

The NPI 1083808844 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 9/4/2007 and was last updated on 3/1/2017.

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
1363LF0000XNurse PractitionerFamilyNP09563OHIOYes

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
12822780MEDICAIDOHIO
2NP24494MEDICARE PINOHIO
3H136752MEDICARE PINOHIO

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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