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

Jaclyn R Rothberg, ARNP

Individual provider Family Nurse Practitioner · NPI 1306018155

Jaclyn R Rothberg, ARNP is a Nurse Practitioner in Tampa, Florida. Qualified in 2007, 19 years ago. Practices with University Medical Service Association Inc, a 824-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

13330 Laurel Dr
Tampa, FL 33612
Phone: (813) 821-8038
Fax: (813) 974-0483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Sw Archer Rd, Gainesville, FL 32610-3003 — (352) 392-4481

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP9251094 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence ARNP9251094 (FL)

Record details

NPI number1306018155
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedApril 1, 2008
Last updated in NPPESDecember 14, 2023
Certification dateDecember 12, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice University Medical Service Association Inc — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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