Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Rouslin Kohli, PA-C

Individual provider Physician Assistant · NPI 1821307752

Amanda Rouslin Kohli, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
16
Licensed in
NY, PA
In the registry since
2010
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1100 Walnut St Ste 702
Philadelphia, PA 19107-5563
Phone: (215) 955-2165
Fax: (215) 923-7957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3737 Market St, Philadelphia, PA 19104-5545 — (215) 662-8664

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence MA057526 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MA057526 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 014268 (NY)

Record details

NPI number1821307752
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2010
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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