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

Individual provider Physician Assistant · NPI 1003432360

Mrs. Jennifer Rose Baker Koebert, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2020, 6 years ago. Practices with University Medical Service Association Inc, a 824-clinician group and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
6
Licensed in
FL, NC
In the registry since
2020
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

4001 E Fletcher Ave Fl 6
Tampa, FL 33613-4808
Phone: (813) 396-0768
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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 PA9113170 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 0010-10048 (NC)

Record details

NPI number1003432360
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Medical Service Association Inc — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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