Doctor profile · Federal record
Dr. JENNIFER KOELLER, PA-C
Surgical Physician Assistant (CMS: PHYSICIAN ASSISTANT) · Physician Assistant · LEESBURG, FL
- NPI 1043625809
- Accepts Medicare
- MIPS 78.0 / 100 · 2023
- 12 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
700 DOCTORS CT
LEESBURG, FL 347487314
(352) 787-9838
fax (352) 787-8705 - Additional location
-
1350 Hickory St
Melbourne, FL 329013224
(321) 434-3455 - Mailing address
-
PO BOX 3130
OCALA, FL 344783130
Credentials & registration
- NPI registered
- June 2014 — 12 yrs on file
- Profile last updated
- April 1, 2025
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (2)
- Florida #PA9108194 · New Jersey #25MP00337400
- Medicaid
- FL #117870300
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1043625809. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$503
Transactions
11
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABIOMED | 4 | $240.31 | |
| Artivion, Inc. | 3 | $173.44 | |
| Edwards Lifesciences Corporation | 2 | $46.40 | |
| LSI SOLUTIONS INC | 1 | $23.41 | |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | 1 | $19.54 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
86
Patients
49
Total drug cost
$776
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Metoprolol Tartrate | Generic | 30 | 23 | $172 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 18 | 0 | $154 |
| Amiodarone Hcl | Generic | 14 | 14 | $274 |
| Atorvastatin Calcium | Generic | 12 | 0 | $89 |
| Potassium Chloride | Generic | 12 | 12 | $88 |