Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dirk E Roberts, RNFA, FNP-C

Individual provider Family Nurse Practitioner · NPI 1083015382

Dirk E Roberts, RNFA, FNP-C is a Nurse Practitioner in Farmington, Missouri. Qualified in 2015, 11 years ago. Practices with St Louis Pain Center LLC, a 2-clinician group. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

606 Maple Valley Dr
Farmington, MO 63640-1976
Phone: (573) 756-7779
Fax: (573) 756-6914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2015025676 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 151527 (MO)

Record details

NPI number1083015382
Entity typeIndividual (Type 1)
GenderMale
Credentials RNFA , FNP-C
Sole proprietorYes
NPI enumeratedSeptember 6, 2014
Last updated in NPPESAugust 5, 2015
Mailing address606 Maple Valley Dr, Farmington, MO 63640-1976

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Louis Pain Center Llc — 2 clinicians
Accepts Medicare assignment Not indicated

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