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Kaitlyn Roeder , PA

Physician Assistant β€’ Brandon, FL

Active NPI 1083455182 Individual Practitioner Female Practitioner
Practice location in NPPES

414 W Robertson St
Brandon, FL 335115007

Call 8137015804 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

414 W Robertson St

Brandon, FL 335115007

Telephone 8137015804
Fax 8132917615
Organization at the Same NPPES Address or Phone
Qdi Partners, Llc Facility NPI 1881691939

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 4 distinct additional practice-address records in Clearwater, FL; Davenport, FL; Ellenton, FL and 1 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kaitlyn Roeder has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kaitlyn Roeder as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Brandon and Florida

70 active clinicians are listed under Physician Assistant with a practice address in Brandon, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Brandon

7.1% of these 70 clinicians have the CMS telehealth indicator.

52.9% of these 70 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9121071

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260302003823

Enrollment State Jurisdiction

FL

PECOS Control ID

5092297838

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

28050 Us Highway 19 N Ste 100

Clearwater, FL 337612600

Phone: 8137015804

1611 Harden Blvd

Lakeland, FL 338031826

Phone: 8137015804

7032 Us Highway 301 N

Ellenton, FL 342223030

Phone: 8137015804

2310 North Blvd W Ste A

Davenport, FL 338378988

Phone: 8137015804

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Maxime Gedeon , MD

Anesthesiology - Pain Medicine

NPI 1720074487

Doctor of Medicine (M.D.)

Dr. Navdeep Jassal , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1255625513

Doctor of Medicine (M.D.)

Dr. Arpit Patel , DO

Pain Medicine - Pain Medicine

NPI 1740569011

Doctor of Osteopathic Medicine (D.O.)

Dr. Corey Reeves , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1790128858

Doctor of Medicine (M.D.)

Dr. Neal Shah , MD

Anesthesiology - Pain Medicine

NPI 1164663332

Doctor of Medicine (M.D.)

Veronica Trujillo , PA-C

Physician Assistant

NPI 1033406749

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location May 19, 2026

Registered at 414 W ROBERTSON ST, BRANDON, FL 335115007 (Tel: 8137015804)

πŸ“
Updated Business Mailing Address May 19, 2026

Registered at PO BOX 25201, TAMPA, FL 336225201 (Tel: 7278232188)

πŸ‘€
Provider Name / Credentials Updated May 19, 2026

Recorded as KAITLYN ROEDER, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2026

Physician Assistant (license number reported to NPPES: FL PA9121071)

βœ…
NPI Profile Active June 03, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 03, 2024

Registered at 5850 E STILL CIR, MESA, AZ 852063618 (Tel: 4802196000)

πŸ“
Business Mailing Address (Initial Record) June 03, 2024

Registered at 5850 E STILL CIR, MESA, AZ 852063618

πŸ‘€
Provider Name / Credentials (Initial Record) June 03, 2024

Recorded as KAITLYN ROEDER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2024

Physician Assistant

🟒
Initial NPI Registration & Enumeration June 03, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083455182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2024
Last Update: May 19, 2026
Sole Proprietor: No

Other Physician Assistants in Brandon

All Physician Assistants in Brandon

Mailing Address

Po Box 25201

Tampa, FL 336225201

Phone: 7278232188

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.