Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083455182 Individual Practitioner Female Practitioner

Kaitlyn Roeder , PA

Physician Assistant • Brandon, FL

Professional Overview & Biography Verified Profile Summary

Kaitlyn Roeder, PA is a certified Physician Assistant practicing in Brandon, FL. With approximately 1 years of clinical experience since completing medical education in 2025, Kaitlyn Roeder delivers high-quality medical care to the local community at 414 W ROBERTSON ST.

Kaitlyn Roeder does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

414 W Robertson St

Brandon, FL 335115007

Telephone 8137015804
Fax 8132917615
Associated Practice Facility / Clinic
🏢 Qdi Partners, Llc Facility NPI 1881691939

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Brandon, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -6.7 yrs vs City Avg
City Avg: 7.7 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
70 Specialists

Practicing in Brandon, FL (10376 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roeder (1 Years) 1 Yrs
Brandon Specialty Average (7.7 Years) 7.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-05-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License 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.

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Courtney Wight , APRN

Nurse Practitioner - Family

NPI 1003769167

Advanced Practice Registered Nurse

Veronica Trujillo , PA-C

Physician Assistant

NPI 1033406749

Physician Assistant (Certified)

Dr. Athanasios Tzaras , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1154818771

Doctor of Medicine (M.D.)

Dr. Neal Shah , MD

Anesthesiology - Pain Medicine

NPI 1164663332

Doctor of Medicine (M.D.)

Nicole Tek , APRN

Nurse Practitioner - Family

NPI 1174484141

Advanced Practice Registered Nurse

Alyssa San Diego , PA-C

Physician Assistant

NPI 1194593376

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 19, 2026

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

📍
Updated Business Mailing Address May 19, 2026

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

👤
Provider Name / Credentials Updated May 19, 2026

Recorded as KAITLYN ROEDER, PA

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

Physician Assistant (License #PA9121071 in FL)

NPI Profile Active June 03, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2024

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

📍
Updated Business Mailing Address June 03, 2024

Registered at 5850 E STILL CIR, MESA, AZ 852063618

👤
Provider Name / Credentials Updated June 03, 2024

Recorded as KAITLYN ROEDER

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

Po Box 25201

Tampa, FL 336225201

Phone: 7278232188

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.