MR. JARROD D ROUSSEL (PA.-C) – Physician Assistant, NPI 1538134721
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. JARROD D ROUSSEL (PA.-C)
1 ORTHOPAEDIC PL
ST AUGUSTINE, FL 320864202
Phone: (904) 825-0540
Fax: (904) 825-2490
Type: Mailing
400 N Tampa St Fl 15
Tampa, FL 336024730
Phone: (888) 803-3370
Fax: (415) 779-8032
Type: Location
2800 Eisenhower Ave Ste 220
Alexandria, VA 223144587
Phone: (888) 803-3370
Fax: (415) 779-8032
Type: Location
555 Andover Park W Ste 200
Tukwila, WA 981883379
Phone: (888) 803-3370
Fax: (415) 779-8032
Type: Location
21660 W Field Pkwy
Deer Park, IL 600107265
Phone: (888) 803-3370
Fax: (415) 779-8032
Type: Location
9700 N 91ST ST STE A115
SCOTTSDALE, AZ 852585036
Phone: (888) 803-3370
Fax: (415) 779-8032
Type: Location
487 MEADOW LAKE DR
FREEPORT, FL 324392356
Phone: (850) 400-4245
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-01-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20171023000484 | I | Physician Assistant | FL | TBD |
| I20250624003619 | I | Physician Assistant | IL | TBD |
| I20251015001685 | I | Physician Assistant | DC | TBD |
| I20260107003141 | I | Physician Assistant | AZ | 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 32086)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AL | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 30 | 30 |
| PHYSICIAN ASSISTANT | AL | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 24 | 15 |
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