Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jacey A. Roberts, PA-C

Individual provider Physician Assistant · NPI 1790080653

Mrs. Jacey A. Roberts, PA-C is a Physician Assistant in Rockingham, Virginia. Qualified in 2010, 16 years ago. Practices with Eventus Premier Healthcare LLC, a 107-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.

Years since qualifying
16
Licensed in
PA, VA
In the registry since
2011
Specialties on file
2
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

1046 Tulip Ter
Rockingham, VA 22801-5324
Phone: (540) 421-0779
Fax: (540) 438-0023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA054722 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 0110005554 (VA)

Record details

NPI number1790080653
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2011
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Eventus Premier Healthcare Llc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rockingham