Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Robertson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1093670531

Gary Robertson is a Nurse Practitioner in Connersville, Indiana. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025
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Practice location Address checks out

707 W 3rd St
Connersville, IN 47331-1577
Phone: (765) 827-1164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71017907A (IN)

Record details

NPI number1093670531
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 17, 2025
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address240 N Tillotson Ave, Muncie, IN 47304-3988

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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