Individual provider Active NPI

Jessica Lynn Roberts, PAC

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1689412132
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3391 Issued in NV
Practice address
1500 E 2ND St Ste 400
Reno, NV 89502-1198
Phone
(775) 982-2400
Fax
(775) 982-2410
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 PA3391 NV Primary

Addresses

Primary practice location

1500 E 2ND St Ste 400
Reno, NV 89502-1198

Mailing address

1155 Mill St # M-14
Reno, NV 89502-1576
Phone (775) 982-2400

Other practice location 1

10201 Double R Blvd Ste 330
Reno, NV 89521-6091
Phone (775) 982-2400

Other practice location 2

10280 W 55th Ave
Arvada, CO 80002-4925
Phone (303) 914-6600

Other identifiers 2

IdentifierTypeStateIssuer
16723984OtherNVCAQH
PA3391OtherNVPAC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20260312002191 NV Practitioner - Physician Assistant 6800379389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

1500 E 2ND St
Suite 400
Reno, NV 89502-1198
Phone (775) 982-2400

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA3391NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Physician Assistant CurrentSince Feb 26, 2026 Accepting new patients
Community Care Services LLC CurrentSince Feb 26, 2026 Accepting new patients

Locations

1500 E 2nd St
Ste 400
Reno, NV 89502

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

10201 Double R Blvd
Ste 330
Reno, NV 89521
Phone (775) 982-7000

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1689412132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M-14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-2400",
            "fax_number": "775-982-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 2ND ST STE 400",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021198",
            "telephone_number": "775-982-2400",
            "fax_number": "775-982-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10201 Double R Blvd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895216091",
            "country_code": "US",
            "telephone_number": "775-982-2400",
            "fax_number": "775-982-2410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10280 W 55th Ave",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800024925",
            "country_code": "US",
            "telephone_number": "303-914-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16723984",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAC",
            "identifier": "PA3391",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.