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JAKOB WYLLYS ENRIQUE ROBERTSON
NPI 1851274922
Physician Assistant - Medical in Orlando, FL

Active since July 28, 2025PECOS EnrolledAccepts Medicare Assignment
1400 S ORANGE AVE, ORLANDO, FL 32806(877) 876-3627(321) 841-3794 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jakob Wyllys Enrique Robertson NPPES

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

JAKOB WYLLYS ENRIQUE ROBERTSON (NPI 1851274922) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9120887) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1851274922
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJAKOB WYLLYS ENRIQUE ROBERTSON
Location Address1400 S ORANGE AVEOrlando, FL 32806-2134
Mailing Address1400 S Orange AveOrlando, FL 32806-2134 · (877) 876-3627 · Fax (321) 841-3794
Phone(877) 876-3627
Fax(321) 841-3794
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 28, 2025
Last NPPES UpdateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
✔ NPI 1851274922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9120887
Also ListedPhysician AssistantTaxonomy 363A00000X
1400 S ORANGE AVE, Orlando, FL 32806
Open in Google Maps ↗

Secondary Practice Location 1

Location 14850 Millenia BlvdOrlando, FL 32839-6012 · Phone (407) 264-5601

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

Jakob Wyllys Enrique Robertson 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 ID446749741
PECOS Enrollment IDI20251028001533
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.

Hospital Affiliations CMS Care Compare

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange 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.

LAUREN C. MEADOR PA-C.
Physician Assistant (Medical)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800
MADISON JULIA MARCANO PA-C
Physician Assistant
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (321) 843-8010
DR. DANIEL J BUCHHOLZ MD
Radiology (Radiation Oncology)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800
YASSER KHALED MD
Internal Medicine (Medical Oncology)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800
MRS. LAURA KIZER MYROLD ARNP
Nurse Practitioner (Adult Health)
1400 S ORANGE AVE, MP 710
ORLANDO, FL 32806
Orange County (407) 648-3800
SARAH JANE ATKINS APRN
Nurse Practitioner (Adult Health)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (321) 841-1893
DR. PATRICK KELLY M.D.
Radiology (Radiation Oncology)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800
LINDSEY R NEELY ARNP
Nurse Practitioner (Adult Health)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800

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 Jakob Robertson's NPI number?

The NPI number for Jakob Robertson is 1851274922. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Jakob Robertson located?

Jakob Robertson practices at 1400 S Orange Ave, Orlando, FL 32806. The listed phone number is (877) 876-3627.

What is Jakob Robertson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jakob Robertson enrolled in Medicare?

Yes. Jakob Robertson 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 Jakob Robertson affiliated with any hospitals?

According to CMS data, Jakob Robertson is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Jakob Robertson was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.