Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Notarberardino, PA

Individual provider Surgery Physician · NPI 1396318515

Jaclyn Notarberardino, PA is a Physician Assistant in Rochester, Michigan. Graduated from University of South Alabama College of Medicine in 2022, 4 years ago. Practices with Henry Ford Health Rochester Hospital, a 103-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
4
Trained at
University of South Alabama College of Medicine
Licensed in
MI, OH
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1135 W University Dr Ste 450
Rochester, MI 48307-1871
Phone: (248) 650-1871
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011240 (MI)
Surgery Physician Taxonomy 208600000X · Licence 50.007801 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396318515
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 24, 2021
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Henry Ford Health Rochester Hospital — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare