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

Individual provider Family Nurse Practitioner · NPI 1023627122

Kristen Cassidy Roberts, FNP-C is a Nurse Practitioner in Greenville, Mississippi. Qualified in 2020, 6 years ago. Practices with Delta Kidney Alliance LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
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

1502 S Colorado St
Greenville, MS 38703-7219
Phone: (662) 355-4105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 840 N Oak Ave, Ruleville, MS 38771-3227 — (662) 756-4024

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904036 (MS)

Record details

NPI number1023627122
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 24, 2020
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Delta Kidney Alliance Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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