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

Jennifer L Roberts, PA-C

Individual provider Surgical Physician Assistant · NPI 1366484214

Jennifer L Roberts, PA-C is a Physician Assistant in Venice, Florida. Qualified in 2002, 24 years ago. Practices with Nokomis Physical Therapy LLC, a 102-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
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 →

Practice location Address checks out

3030 Executive Dr
Venice, FL 34292-2613
Phone: (941) 485-1505
Fax: (941) 485-7495
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9102029 (FL)

Record details

NPI number1366484214
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Nokomis Physical Therapy Llc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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