JENNIFER S. ROTHENBERGER (PA-C) – Surgical Physician Assistant, NPI 1447212162
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,510 PHYSICIAN ASSISTANT in IN
Provider Addresses for JENNIFER S. ROTHENBERGER (PA-C)
8333 Naab Rd Ste 250
Indianapolis, IN 46260
Phone: (317) 396-1300
Fax: (317) 396-1346
Type: Location
2531 Cleveland Ave
Suite 1
Fort Myers, FL 339014900
Phone: (239) 334-7000
Fax: (239) 334-7070
Type: Location
EvergreenHealth Kirkland, 12040, Northeast 128th Street, Kirkland, King County, Washington, 98034, United States
# MS-50
KIRKLAND, WA 980343013
Phone: (425) 899-1894
Fax: (425) 899-1898
Type: Mailing
Naab Road, Indianapolis, Indiana, 46260, United States
INDIANAPOLIS, IN 46260
Phone: (317) 396-1300
Fax: (317) 396-1346
Type: Location
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: 2019-11-15
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 |
|---|---|---|---|---|
| I20191115001189 | I | Physician Assistant | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 33 | 33 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 22 | 22 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 22 | 13 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 17 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 15 | $0 |
Insurance plans in this area (ZIP 46260)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| Family Practice | NC | |
| - | WA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Family Practice | OR | |
| - | WA | |
| - | WA |
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