Jacqueline Faye Roff, PA-C
NPI 1629480850ActiveIndividual· Physician Assistant· Edina, MN
Physician Assistant (PA-C) with Intermed Consultants,ltd. and 1 other group, practicing in Edina, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $31,887 for 445 claims, against $8,800 paid for services in 2024.
Overview
| NPI | 1629480850 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 22, 2014 |
| Last updated in NPPES | May 21, 2021 |
| Certified by provider | May 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 13705 | MN |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 2315 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 174 across 7 procedure codes |
| Paid by Medicare | $8,800 |
Part D prescriptions in 2024
| Prescriptions (claims) | 445 · 827 30-day fills |
|---|---|
| Patients | 79 |
| Total drug cost | $31,887 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Intermed Consultants,ltd.Edina, MN · 17 clinicians
- Intermed Consultants Dialysis PLLCEdina, MN · 11 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Edina
- 1720547920
- 1457073355
- 1710553706
- 1164203568
- 1891218095
- 1548367626
- 1992734032
- 1447705462
- 1093283608
- 1790145738
- 1417922873
- 1588352686