Individual provider Active NPI

Jill Sarah Rowland, PA-C

  • Physician Assistant
  • Keller, TX
National Provider Identifier
1659800449
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
240 N Rufe Snow Dr
Keller, TX 76248-4226
Phone
(817) 431-0606
NPI assigned
Jun 6, 2017
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

240 N Rufe Snow Dr
Keller, TX 76248-4226

Mailing address

2600 FM 1764 Rd
Ste 190
La Marque, TX 77568-2826
Phone (281) 886-8964

Other names 1

  • Jill Sarah Robl 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
I20211116002658 TX Practitioner - Physician Assistant 9436548294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aic Urgent Care. PLLCGroup PAC ID 5890956650, 16 clinicians

Practice addresses (Care Compare)

2600 FM 1764 Rd
Suite 190
La Marque, TX 77568-2826
Phone (281) 886-8964

3128 S Hwy 35
Alvin, TX 77511-4737
Phone 28188689649189

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aic Primary Care, PLLC PastSince Jan 18, 2014 Accepting new patients
Kevin J Kallal MD PA Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1659800449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FM 1764 RD",
            "address_2": "STE 190",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775682826",
            "telephone_number": "281-886-8964",
            "fax_number": "409-440-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N RUFE SNOW DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484226",
            "telephone_number": "817-431-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLAND",
        "first_name": "JILL",
        "middle_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "ROBL",
            "middle_name": "SARAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.