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KAITLYN ROEDER PA
NPI 1083455182
Physician Assistant in Brandon, FL

Active since June 03, 2024PECOS Enrolled
414 W ROBERTSON ST, BRANDON, FL 33511(813) 701-5804(813) 291-7615 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2026, Jun 3, 2024 (2 updates tracked since 2024).

About Kaitlyn Roeder Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN ROEDER PA (NPI 1083455182) is an individual physician assistant in Brandon, Florida, licensed in Florida (PA9121071) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083455182
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLYN ROEDERCredential: PA
Location Address414 W ROBERTSON STBrandon, FL 33511-5007
Mailing AddressPo Box 25201Tampa, FL 33622-5201 · (727) 823-2188 · Fax (727) 828-0723
Phone(813) 701-5804
Fax(813) 291-7615
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 3, 2024
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1083455182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9121071
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
414 W ROBERTSON ST, Brandon, FL 33511
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Roeder Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092297838
PECOS Enrollment IDI20260302003823
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIA SANGHANI PA-C
Physician Assistant
414 W ROBERTSON ST
BRANDON, FL 33511
Hillsborough County (813) 701-5804
TOWER IMAGING LLC
Radiology (Diagnostic Radiology)
414 W ROBERTSON ST
BRANDON, FL 33511
Hillsborough County (813) 657-6767
EXCEL PAIN AND SPINE LLC
Physical Medicine & Rehabilitation (Pain Medicine)
414 W ROBERTSON ST
BRANDON, FL 33511
Hillsborough County (813) 701-5804
RACHEL LOUISE EMBRY PA-C
Physician Assistant
414 W ROBERTSON ST
BRANDON, FL 33511
Hillsborough County (813) 684-5255
BETSY JOAN QUINONES APRN
Nurse Practitioner (Family)
414 W ROBERTSON ST
BRANDON, FL 33511
Hillsborough County (813) 701-5804
QDI PARTNERS
Clinic/Center
414 W ROBERTSON ST
BRANDON, FL 33511
Hillsborough County (813) 657-6767
QDI PARTNERS, LLC
Radiologic Technologist
414 W ROBERTSON ST
BRANDON, FL 33511
Hillsborough County (813) 676-0043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Roeder's NPI number?

The NPI number for Kaitlyn Roeder is 1083455182. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Kaitlyn Roeder located?

Kaitlyn Roeder practices at 414 W Robertson St, Brandon, FL 33511. The listed phone number is (813) 701-5804.

What is Kaitlyn Roeder's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kaitlyn Roeder enrolled in Medicare?

Yes. Kaitlyn Roeder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlyn Roeder was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.