Shawn A Roberts (NPI# 1295878429, PAC ID# 4183725294) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295878429 |
| PAC ID by PECOS | 4183725294 |
| Professional Enrollment ID | I20070719000340 |
| Full Name | Shawn A Roberts |
| Organization Legal Name | MAT-SU VALLEY III LLC |
| Address |
209 W Evergreen Ave Palmer AK 99645-6952 |
| Phone Number | 9078611400 |
| Gender | F |
| Graduation Year | 1986 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496941502 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020006 | MAT-SU REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 209 W Evergreen Ave, Palmer, AK 99645-6952 | 9078611400 | MAT-SU VALLEY III LLC |
| 950 E Bogard Rd, Wasilla, AK 99654-7172 | 9078640260 | MAT-SU VALLEY III LLC |
| 950 E Bogard Rd, Wasilla, AK 99654-7184 | 9073522880 | MAT-SU VALLEY MEDICAL CENTER LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 100% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | MAT-SU VALLEY III LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Eachon | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Virginia C Cooper | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Paul H Gibson | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Michael A Dibartolo | Family Medicine | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Barbara J Doty | Family Medicine | Mat-su Valley IIi LLC | 1700 E Bogard Rd, Suite 100, Wasilla, AK 99654-6563 |
| Matthew John Mau | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Jessica D Rowley | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Megan Ferguson | Certified Nurse Midwife (cnm) | Mat-su Valley IIi LLC | 2490 S Woodworth Loop, Suite 301, Palmer, AK 99645-7407 |
| Violeta D Yeager | Nurse Practitioner | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Cassandra Cook | Obstetrics/gynecology | Mat-su Valley IIi LLC | 2490 S Woodworth Loop, Suite 301, Palmer, AK 99645-7407 |
| Street Address |
209 W EVERGREEN AVE |
| City | PALMER |
| State | AK |
| Zip | 99645-6952 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Eachon | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Virginia C Cooper | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Paul H Gibson | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Michael A Dibartolo | Family Medicine | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Matthew John Mau | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Jessica D Rowley | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Violeta D Yeager | Nurse Practitioner | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Hillary Willrett | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Samuel I Inouye | Family Medicine | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Nicolas Bradley | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara R Reynolds | Optometry | Lodestar Family Eye Care PC | 625 Cobb St, Suite 101, Palmer, AK 99645 |
| Jacob T Frank | Optometry | Lodestar Family Eye Care PC | 625 Cobb St, Suite 101, Palmer, AK 99645 |
| Dana August Hunter Manelick | Chiropractic | 6921 E Garth Cir B, Palmer, AK 99645-5922 | |
| Natalie J Beyeler | Internal Medicine | 6921 E Garth Cir, Palmer, AK 99645-5922 | |
| Joseph T Hawkins | Chiropractic | 108 E Arctic Ave, Palmer, AK 99645-6254 | |
| Jason W Brooks | Family Medicine | Palmer Family Medicine Inc | 258 S Alaska St, Palmer, AK 99645-6334 |
| Shelly R Budde | Nurse Practitioner | Palmer Family Medicine Inc | 258 S Alaska St, Palmer, AK 99645-6334 |
| Paul A Schranz | Physician Assistant | Palmer Family Medicine Inc | 258 S Alaska St, Palmer, AK 99645-6334 |
| Teresa P Vial | Nurse Practitioner | Palmer Family Medicine Inc | 258 S Alaska St, Palmer, AK 99645-6334 |
| Kathleen M Hammaker | Nurse Practitioner | 247 S Alaska St, Suite A, Palmer, AK 99645-6335 | |
| Find all physicians in zip 99645 | |||
| City | PALMER |
| Zip Code | 99645 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PALMER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shawn A Roberts.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.