JENNIFER L ROBERTS PA-C
NPI 1366484214
Physician Assistant - Surgical in Venice, FL

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3030 EXECUTIVE DR, VENICE, FL 34292(941) 485-1505(941) 485-7495 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer L Roberts Pa-c NPPES

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

JENNIFER L ROBERTS PA-C (NPI 1366484214) is an individual surgical provider in Venice, Florida, licensed in Florida (PA9102029) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Desoto Memorial Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1366484214
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNIFER L ROBERTSCredential: PA-C
Location Address3030 EXECUTIVE DRVenice, FL 34292-2613
Mailing Address3030 Executive DrVenice, FL 34292-2613 · (941) 485-1505 · Fax (941) 485-7495
Fax(941) 485-7495
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
NPI 1366484214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9102029
3030 EXECUTIVE DR, Venice, FL 34292

Other Identifiers 1

Medicaid291421200FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer L Roberts Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002958063
PECOS Enrollment IDI20100128000876
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.

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,162 services775 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
648 services466 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
474 services362 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
252 services252 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
252 services198 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
179 services151 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Desoto Memorial Hospital

Acute Care Hospitals · Arcadia, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100175
Location900 N Robert AveArcadia, FL 34265 · De Soto County
Emergency services

Hca Florida Englewood Hospital

Acute Care Hospitals · Englewood, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100267
Location700 Medical BlvdEnglewood, FL 34223 · Sarasota County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf L3675
DME-Orthotic Devices · category DF000N
1 supplier61 claims61 services$129.59 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier23 claims23 services$44.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Orthopaedic Surgery (Sports Medicine)
3030 EXECUTIVE DR
VENICE, FL 34292
Occupational Therapist (Hand)
3030 EXECUTIVE DR
VENICE, FL 34292
Orthopaedic Surgery (Hand Surgery)
3030 EXECUTIVE DR
VENICE, FL 34292
Physical Therapist
3030 EXECUTIVE DR
VENICE, FL 34292
Orthopaedic Surgery (Foot and Ankle Surgery)
3030 EXECUTIVE DR
VENICE, FL 34292
Orthopaedic Surgery (Sports Medicine)
3030 EXECUTIVE DR
VENICE, FL 34292
Physical Therapist
3030 EXECUTIVE DR
VENICE, FL 34292
Physical Therapist
3030 EXECUTIVE DR
VENICE, FL 34292

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 Jennifer Roberts's NPI number?

The NPI number for Jennifer Roberts is 1366484214. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Jennifer Roberts located?

Jennifer Roberts practices at 3030 Executive Dr, Venice, FL 34292. The listed phone number is (941) 485-1505.

What is Jennifer Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jennifer Roberts enrolled in Medicare?

Yes. Jennifer Roberts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jennifer Roberts affiliated with any hospitals?

According to CMS data, Jennifer Roberts is affiliated with Desoto Memorial Hospital and Hca Florida Englewood Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Roberts was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.