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

Mrs. Nikisha Nicole Roberts, MPHPAC

Individual provider Physician Assistant · NPI 1881796035

Mrs. Nikisha Nicole Roberts, MPHPAC is a Physician Assistant in Brandon, Florida. Qualified in 2003, 23 years ago. Practices with Optumcare Florida, LLC, a 267-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1989 W Lumsden Rd
Brandon, FL 33511-8821
Phone: (813) 653-3111
Fax: (813) 653-1384
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9102619 (FL)

Record details

NPI number1881796035
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPHPAC
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Optumcare Florida, Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brandon