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

Individual provider Physician Assistant · NPI 1366967739

Jessica Rose Rotolo, PA-C is a Physician Assistant in Crossville, Tennessee. Qualified in 2017, 9 years ago. Practices with Cumberland Dermatology PC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
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

29 Taylor Ave Ste 101
Crossville, TN 38555-4536
Phone: (931) 484-6061
Fax: (931) 484-6062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 303 N Oak Ave, Cookeville, TN 38501-2439 — (931) 484-6061

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8413 (GA)

Record details

NPI number1366967739
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2017
Last updated in NPPESAugust 5, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cumberland Dermatology Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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