JENNA ROE (P.A.) – Medical Physician Assistant, NPI 1235672080

JENNA ROE (P.A.) is a healthcare provider. based in North richland hills, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA 10987 (TX). The NPI Number for JENNA ROE (P.A.) is 1235672080

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JENNA ROE (P.A.)
NPI
1235672080
Phone
(817) 595-3700
Address
4351 BOOTH CALLOWAY RD
Enumeration Date
28 November 2016
Last Update Date
2 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665524866
Graduation Year
2016 (10 years ago)
PAC ID
2860773934
Group Practice PAC ID
6800173204
Professional Enrollment ID
I20170103001823
Address ID
TX775984242WE251XXBLVD503
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for JENNA ROE (P.A.)

  • 4351, Booth Calloway Road, North Richland Hills, Tarrant County, Texas, 76180, United States

    SUITE 308

    NORTH RICHLAND HILLS, TX 761807378

    Phone: (817) 595-3700

    Fax: (817) 595-3701

    Type: Location

  • 8135 FOREST LN # 515057

    DALLAS, TX 752302472

    Phone: (469) 850-5760

    Type: Mailing

  • 1650 ROUND ROCK AVE STE 100

    ROUND ROCK, TX 786814082

    Phone: (866) 552-4866

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $1,909.

Total Amount is formed as General ($1,909) + Research ($0) + Ownership ($0) = $1,909.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Medtronic, Inc. ($1,772).

Total Amount

$1,909

General + Research + Ownership

Payments

25

Total payment records

General Amount

$1,909

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-01-03

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170103001823IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 76180)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800173204View full group profile
NameSpecialtyState
-PA
-TX
Thoracic Surgery, Vascular SurgeryTX
Interventional Radiology, Diagnostic RadiologyTX
P O D I A T R YTX
P O D I A T R YKS
P O D I A T R YTX
-MA
General SurgeryOK
P O D I A T R YFL

Reviews

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Frequently asked questions

How is JENNA ROE (P.A.) identified in CMS data?
CMS-hosted NPPES data lists JENNA ROE (P.A.) with NPI 1235672080.
Is JENNA ROE (P.A.) listed as active for patients and plans?
The listing shows JENNA ROE (P.A.) as active in the NPI system.
What is JENNA ROE (P.A.)'s primary classification?
Medical Physician Assistant is the headline specialty for JENNA ROE (P.A.) here. Clinical services aligned with this taxonomy classification.
What address line appears for JENNA ROE (P.A.)?
JENNA ROE (P.A.)'s geographic hint is North Richland Hills, Texas in our summary view.
Is the information about JENNA ROE (P.A.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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