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

Julie Ann Roubal, PA-C

Individual provider Physician Assistant · NPI 1114975489

Julie Ann Roubal, PA-C is a Physician Assistant in Omaha, Nebraska. Graduated from University of Nebraska College of Medicine in 2002, 24 years ago. Practices with Dermatology Specialists of Omaha LLC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
24
Trained at
University of Nebraska College of Medicine
Licensed in
NE
In the registry since
2006
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

909 N 96th St
Omaha, NE 68114-2497
Phone: (402) 330-4555
Fax: (402) 330-4626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1825 N 205th St, Elkhorn, NE 68022-4761 — (402) 330-4555

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1132 (NE)

Record details

NPI number1114975489
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Dermatology Specialists Of Omaha Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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