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

Mark Roberts

Individual provider Licensed Practical Nurse · NPI 1588094825

Mark Roberts is a Nurse Practitioner in Dayton, Ohio. Graduated from University of Cincinnati College of Medicine in 2020, 6 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
6
Trained at
University of Cincinnati College of Medicine
Licensed in
OH
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

122 Wyoming St
Dayton, OH 45409-2731
Phone: (937) 223-4461
Fax: (937) 449-7603
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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 APRN.CNP.0027441 (OH)
Licensed Practical Nurse Taxonomy 164W00000X · Licence PN151753-M-IV (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.0027441 (OH)

Record details

NPI number1588094825
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 23, 2013
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing address1846 Spindletop Ln, Dayton, OH 45458-6501

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Dayton