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DR. PAULINE J ROLLE M.D.
NPI 1306899711
Pediatrics in Jacksonville Beach, FL

Active since May 18, 2006PECOS Enrolled
3200 3RD ST S STE 101, JACKSONVILLE BEACH, FL 32250(904) 450-7050(904) 450-7059 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2021, Oct 18, 2019 (2 updates tracked since 2019).

About Dr. Pauline J Rolle M.d. NPPES

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

DR. PAULINE J ROLLE M.D. (NPI 1306899711) is an individual pediatrics provider in Jacksonville Beach, Florida, licensed in Florida (ME86691) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306899711
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. PAULINE J ROLLECredential: M.D.
Location Address3200 3RD ST S STE 101Jacksonville Beach, FL 32250-6097
Mailing Address1 Shircliff WayJacksonville, FL 32204-4748 · (904) 308-7309 · Fax (904) 308-7326
Phone(904) 450-7050
Fax(904) 450-7059
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 20, 20212 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
✔ NPI 1306899711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME86691
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3200 3RD ST S STE 101, Jacksonville Beach, FL 32250
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Other Identifiers 2

Medicaid266028800FL
Medicaid2660288-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pauline J Rolle M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Pauline Rolle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Vincents Ambulatory Care Inc
18 mi
Neurological Surgery
2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: St Vincent's Ambulatory Care Inc
  • 544 clinicians in this Medicare group
NPI 1417987124 (904) 308-6769

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32250 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Pauline Rolle's NPI number?

The NPI number for Pauline Rolle is 1306899711. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Pauline Rolle located?

Pauline Rolle practices at 3200 3rd St S Ste 101, Jacksonville Beach, FL 32250. The listed phone number is (904) 450-7050.

What is Pauline Rolle's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Pauline Rolle enrolled in Medicare?

Yes. Pauline Rolle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pauline Rolle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pauline Rolle reassigns Medicare benefits to St Vincents Ambulatory Care Inc (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pauline Rolle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pauline Rolle accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 6 other insurers list Pauline Rolle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pauline Rolle was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.