JENNIFER MICHELE ROTTKAMP PA-C
NPI 1871354431
Physician Assistant in Stony Brook, NY

Active since January 22, 2024PECOS EnrolledAccepts Medicare Assignment
100 NICOLLS ROAD, HSC T12, ROOM 080, STONY BROOK, NY 11794(631) 444-1213(631) 444-1535 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Michele Rottkamp Pa-c NPPES

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

JENNIFER MICHELE ROTTKAMP PA-C (NPI 1871354431) is an individual physician assistant in Stony Brook, New York and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871354431
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER MICHELE ROTTKAMPCredential: PA-C
Location Address100 NICOLLS ROAD, HSC T12, ROOM 080Stony Brook, NY 11794-8122
Mailing Address100 Nicolls Road, Hsc T12, Room 080Stony Brook, NY 11794-8122 · (631) 444-1213 · Fax (631) 444-1535
Fax(631) 444-1535
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 22, 2024
Last NPPES UpdateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
NPI 1871354431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
100 NICOLLS ROAD, HSC T12, ROOM 080, Stony Brook, NY 11794

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 Michele Rottkamp 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 ID3678004033
PECOS Enrollment IDI20241009002346
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.

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Rottkamp's NPI number?

The NPI number for Jennifer Rottkamp is 1871354431. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Jennifer Rottkamp located?

Jennifer Rottkamp practices at 100 Nicolls Road, Hsc T12, Room 080, Stony Brook, NY 11794. The listed phone number is (631) 444-1213.

What is Jennifer Rottkamp's specialty?

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

Is Jennifer Rottkamp enrolled in Medicare?

Yes. Jennifer Rottkamp 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 Rottkamp affiliated with any hospitals?

According to CMS data, Jennifer Rottkamp is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Rottkamp was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.