Mallory Roberson, NP
NPI 1134661440ActiveIndividual· Nurse Practitioner, Gerontology· Cullman, AL
Nurse Practitioner, Gerontology (NP) with Boulder Care Provider Group PA, practicing in Cullman, Alabama. Their prescriptions cost Medicare Part D more than their services did: $28,762 for 278 claims, against $5,795 paid for services in 2024. Novartis Pharmaceuticals Corporation reported $21.19 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1134661440 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Nov 17, 2016 |
| Last updated in NPPES | Oct 16, 2024 |
| Certified by provider | Oct 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 1-131922 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AL); Practitioner - Nurse Practitioner (NC); Practitioner - Nurse Practitioner (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 75 |
|---|---|
| Services billed | 85 across 5 procedure codes |
| Paid by Medicare | $5,795 |
Part D prescriptions in 2024
| Prescriptions (claims) | 278 · 417 30-day fills |
|---|---|
| Patients | 133 |
| Total drug cost | $28,762 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Boulder Care Provider Group PAShaker Heights, OH · 119 clinicians
Industry payments (Open Payments)
- 2025$21.19 · 1 payment from 1 company
- 2024$510.84 · 26 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $21.19 | 1 |
What the 2025 payments were for
- Food and Beverage$21.19 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Gerontology providers in Cullman
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