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

Jaclyn S Rieben, PA-C

Individual provider Physician Assistant · NPI 1972573988

Jaclyn S Rieben, PA-C is a Physician Assistant in Santa Rosa Beach, Florida. Qualified in 2005, 21 years ago. Practices with Southeastern Dermatology Group PA, a 44-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

82 Mack Bayou Loop
Santa Rosa Beach, FL 32459-2637
Phone: (850) 233-3376
Fax: (850) 522-8354
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 3 Racetrack Rd Ne, Fort Walton Beach, FL 32547-1875 — (850) 233-3376
  • 12907 Panama City Beach Pkwy, Panama City Beach, FL 32407-2717 — (850) 233-3376

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9114843 (FL)

Record details

NPI number1972573988
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Southeastern Dermatology Group Pa — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Rosa Beach