Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jennifer Koeller, PA-C

Surgical Physician Assistant in Leesburg, FL · enumerated 2014 · practices at Leesburg Cardiovascular Associates LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043625809

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Jennifer Koeller

Credential PA-C

Sex Female

Practice address Leesburg, FL, 34748

Phone (352) 787-9838

Fax (352) 787-8705

Enumeration date Jun 30, 2014

Last updated in NPPES Apr 1, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 25MP00337400 (NJ) Secondary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9108194 (FL) Primary

Other identifiers

Identifier	Type	State	Issuer
PA9108194	Other	FL	MEDICAL LICENSE
UM361	Other	FL	MEDICARE HF
117870300	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jennifer Koeller?

Jennifer Koeller is registered in NPPES with the primary taxonomy of Surgical Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

Browse all →

Andrej Jivitski Anesthesiology Physician · Leesburg, FL NPI 1841286408 Jean Emilcar Anesthesiology Physician · Leesburg, FL NPI 1023086865 Leesburg Cardiovascular Associates LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Leesburg, FL NPI 1952346017 Robert Richardson Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Leesburg, FL NPI 1558399733 Thomas Jones Surgical Physician Assistant · Leesburg, FL NPI 1598794075 Christopher Reed Anesthesiology Physician · Leesburg, FL NPI 1457380081 Karen Thompson Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Leesburg, FL NPI 1861423691 Kelly Kevitt Family Nurse Practitioner · Leesburg, FL NPI 1740207497

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-01.