Hichinaca Roberson (NPI# 1255827044, PAC ID# 8123370483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255827044 |
| PAC ID by PECOS | 8123370483 |
| Professional Enrollment ID | I20181015002228 |
| Full Name | Hichinaca Roberson |
| Organization Legal Name | NORTHEAST FLORIDA HEALTH SERVICES, INC |
| Address |
216 N Frederick St Pierson FL 32180-3024 |
| Phone Number | 3867499449 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547249518 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100045 | FLORIDA HOSPITAL DELAND |
| Address | Phone | Organization |
|---|---|---|
| 844 W Plymouth Ave, Deland, FL 32720-3284 | 3867382422 | NORTHEAST FLORIDA HEALTH SERVICES, INC |
| 216 N Frederick St, Pierson, FL 32180-3024 | 3867499449 | NORTHEAST FLORIDA HEALTH SERVICES, INC |
| Organization Legal Name | NORTHEAST FLORIDA HEALTH SERVICES, INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Liu Sauls | Family Medicine | Northeast Florida Health Services, Inc | 801 Beville Rd, Suite 101, South Daytona, FL 32119-1861 |
| Julian P Johnson | Physician Assistant | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Angelia Lynn Fuller | Nurse Practitioner | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Kelsey Hoblick | Physician Assistant | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Shruti Patel | Physician Assistant | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Robert Brian Rodriguez | Physician Assistant | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Arletty D Smith | Family Medicine | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Bruno Mancini | Family Medicine | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Street Address |
216 N FREDERICK ST |
| City | PIERSON |
| State | FL |
| Zip | 32180-3024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Hoblick | Physician Assistant | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Arletty D Smith | Family Medicine | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Bruno Mancini | Family Medicine | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Robert O Kessack Iii | Physician Assistant | Northeast Florida Health Services Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Samay Omary | Family Practice | Northeast Florida Health Services Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| City | PIERSON |
| Zip Code | 32180 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PIERSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Hichinaca Roberson.
| 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.