Individual provider Active NPI

Jenna Roe, P.A.

  • Medical Physician Assistant
  • Round Rock, TX
National Provider Identifier
1235672080
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 10987 Issued in TX
Practice address
1650 Round Rock Ave Ste 100
Round Rock, TX 78681-4082
Phone
(866) 552-4866
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 10987 TX Primary

Addresses

Primary practice location

1650 Round Rock Ave Ste 100
Round Rock, TX 78681-4082

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472
Phone (469) 850-5760

Other names 1

  • Jenna Bartholomew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103001823 TX Practitioner - Physician Assistant 2860773934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Partners PLLCGroup PAC ID 6800173204, 95 clinicians

Practice addresses (Care Compare)

1650 Round Rock Ave
Suite 100
Round Rock, TX 78681-4082
Phone (866) 552-4866

251 W Medical Ctr Blvd
Suite 200
Webster, TX 77598-4242
Phone (866) 552-4866

5575 Warren Pkwy
Suite 101
Frisco, TX 75034-4066
Phone (972) 712-4161

Merit-based Incentive Payment System (MIPS)

Final score
70.97 of 100Reported as group
Quality
43.69
Promoting interoperability
91
Improvement activities
40
Cost
67.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 10987TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Partners PLLC CurrentSince Sep 18, 2023 Accepting new patients
Interventional Partners PLLC CurrentSince Sep 18, 2023 Accepting new patients

Locations

400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990

2150 N Josey Ln
Carrollton, TX 75006
Phone (972) 242-0660

8135 Forest Ln
Dallas, TX 75230
Phone (469) 850-5760

5575 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 712-4161

1640 Highland Falls Dr
Ste 601
Leander, TX 78641
Phone (512) 345-7436

1650 Round Rock Ave
Ste 100
Round Rock, TX 78681
Phone (512) 551-1403

251 W Medical Center Blvd
Ste 200
Webster, TX 77598
Phone (214) 838-6440

Interoperability endpoints

  • Direct secure messaging: jenna.bartholomew.1@2477.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1235672080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472",
            "telephone_number": "469-850-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ROUND ROCK AVE STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814082",
            "telephone_number": "866-552-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "JENNA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA 10987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "BARTHOLOMEW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.