Jennifer L Roberts, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9102029 Issued in FL

Practice address

3030 Executive Dr
Venice, FL 34292-2613

Phone

(941) 485-1505

Fax

(941) 485-7495

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nokomis Physical Therapy LLCGroup PAC ID 8628240843, 104 clinicians

Suncoast Orthopaedic Surgery and Sports Medicine, P.a.Group PAC ID 0648296285, 14 clinicians

Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians

Mastercare Physical Therapy IncGroup PAC ID 6103073499, 51 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267
• Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175
• Village on the Isle Nursing home, Venice, FL, CCN 105472

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Suncoast Orthopaedic Surgery & Sports Medicine, P.a.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Venice, FL
  • NPI 1982638730
  Medicare reassignment Care Compare group
• Empath Therapies, LLC

  • Health Service Clinic/Center
  • Venice, FL
  • NPI 1346912805
  Care Compare group
• Mastercare Physical Therapy, Inc

  • Health Service Clinic/Center
  • Sarasota, FL
  • NPI 1346377892
  Care Compare group
• Nokomis Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Nokomis, FL
  • NPI 1780964973
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Desoto County Hospital District

  • Rural Acute Care Hospital
  • Arcadia, FL
  • NPI 1528387842
  Care Compare affiliation
• Englewood Community Hospital, Inc.

  • General Acute Care Hospital
  • Englewood, FL
  • NPI 1639122864
  Care Compare affiliation
• Southwest Florida Retirement Center

  • Skilled Nursing Facility
  • Venice, FL
  • NPI 1881681328

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1366484214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 EXECUTIVE DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922613",
            "telephone_number": "941-485-1505",
            "fax_number": "941-485-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 EXECUTIVE DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922613",
            "telephone_number": "941-485-1505",
            "fax_number": "941-485-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291421200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert H Felman MD PA
• Robert Kane MD PA
• Robert L Dubin MD PA
• Christopher Allen Roberts, MD
• Elysa Roberts, PHD, OTRL
• Michael Don Roberts, M.D.
• Michael Warren Roberts, DO
• Eileen Robertson, REGISTERED CLINICAL
• Robin Mathews, LMFT, Individual and Marriage Therapist, Inc.
• Boyd Allan Robinson, DPM

• Surgical Physician Assistant in Venice, FL
• Providers in Venice, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.