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

Mayory Roberts, APRN

Individual provider Family Nurse Practitioner · NPI 1447896568

Mayory Roberts, APRN is a Nurse Practitioner in Hammond, Indiana. Qualified in 2019, 7 years ago. Practices with Cg Medical Associates Inc, a 171-clinician group and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
7
Licensed in
IN, OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1828 165th St Ste A
Hammond, IN 46320-2823
Phone: (219) 763-8112
Fax: (219) 844-9006
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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 71010982A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 025912 (OH)

Record details

NPI number1447896568
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedNovember 25, 2019
Last updated in NPPESApril 30, 2021
Certification dateApril 30, 2021
Mailing addressPo Box 1430, Portage, IN 46368-9230

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cg Medical Associates Inc — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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