DR. PAULINE J ROLLE (M.D.) – Pediatrics Physician, NPI 1306899711
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. PAULINE J ROLLE (M.D.)
900, University Boulevard North, Arlington, Jacksonville, Duval County, Florida, 32211, United States
MC-08
JACKSONVILLE, FL 322115504
Phone: (904) 253-2062
Fax: (904) 253-1942
Type: Mailing
515, West 6th Street, Springfield, Jacksonville, Duval County, Florida, 32206, United States
MC-51
JACKSONVILLE, FL 32206
Phone: (904) 253-2785
Fax: (904) 253-1961
Type: Location
1 SHIRCLIFF WAY
JACKSONVILLE, FL 322044748
Phone: (904) 308-7309
Fax: (904) 308-7326
Type: Mailing
3200 3RD ST S STE 101
JACKSONVILLE BEACH, FL 322506097
Phone: (904) 450-7050
Fax: (904) 450-7059
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $160.
Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($160).
Total Amount
$160
General + Research + Ownership
Payments
2
Total payment records
General Amount
$160
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $160 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-08-20
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130820000799 | I | Pediatric Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL |
Reviews
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