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

MS. Kendall Roberts, AGPCNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1215682448

MS. Kendall Roberts, AGPCNP-BC is a Nurse Practitioner in Dearborn, Michigan. Qualified in 2021, 5 years ago. Practices with MA Sobh DO PLC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2022

Practice location Address checks out

904 Mason St
Dearborn, MI 48124-2215
Phone: (313) 586-7525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704343522NSA2204R (MI)

Record details

NPI number1215682448
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedFebruary 16, 2022
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ma Sobh Do Plc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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