JENNIFER S. ROTHENBERGER PA-C
NPI 1447212162
Physician Assistant - Surgical in Indianapolis, IN

Q: What is Jennifer Rothenberger's NPI number?

The NPI number for Jennifer Rothenberger is 1447212162. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Jennifer Rothenberger's specialty?

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

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment

8333 NAAB RD STE 250, INDIANAPOLIS, IN 46260(317) 396-1300(317) 396-1346 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 15, 2019, Jan 14, 2019 (2 updates tracked since 2019).

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About Jennifer S. Rothenberger Pa-c NPPES

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

JENNIFER S. ROTHENBERGER PA-C (NPI 1447212162) is an individual surgical provider in Indianapolis, Indiana, licensed in Washington (PA60995158) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447212162

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJENNIFER S. ROTHENBERGERCredential: PA-C

Location Address8333 NAAB RD STE 250Indianapolis, IN 46260

Mailing Address12040 Ne 128th St, # Ms-50Kirkland, WA 98034-3013 · (425) 899-1894 · Fax (425) 899-1898

Phone(317) 396-1300

Fax(317) 396-1346

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateApril 6, 2006

Last NPPES UpdateOctober 15, 20192 updates tracked since enumeration

✔ NPI 1447212162 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

Licenses✔ Licensed in WA · PA60995158✔ Licensed in FL · PA9101661✔ Licensed in IN · 10002582A

8333 NAAB RD STE 250, Indianapolis, IN 46260

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Secondary Practice Locations 2

Location 12531 Cleveland Ave, Suite 1Fort Myers, FL 33901-4900 · Phone (239) 334-7000 · Fax (239) 334-7070

Location 28333 Naab Rd Ste 250Indianapolis, IN 46260 · Phone (317) 396-1300 · Fax (317) 396-1346

Other Identifiers 2

Medicaid291359300FL

Medicaid2913593-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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 S. Rothenberger 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 ID7911035456

PECOS Enrollment IDI20191115001189

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 4

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.

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

23 services23 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services15 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

14 services12 patients

Hospital Affiliations CMS Care Compare

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

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500124

Location12040 NE 128th StreetKirkland, WA 98034 · King County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

STACIE GREN RN

Registered Nurse