Individual provider · Type 1 NPI

Julie Ann Roubal, PA-C

Physician Assistant · Omaha, NE

NPI number 1114975489 Active

Practice location

515 N 162nd Ave Ste 203
Omaha, NE 68118-2540

Fax (402) 354-7380

Mailing address

PO Box 3755
Omaha, NE 68103-0755

Other practice locations

  • 1825 N 205th St, Elkhorn, NE 68022-4761 · (402) 330-4555
  • 909 N 96th St, Omaha, NE 68114-2497 · (402) 330-4555

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1132 (NE)

Physician Assistant: 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, orde…

2 other providers at this address

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About NPI 1114975489

Julie Ann Roubal, PA-C's National Provider Identifier is 1114975489, issued on May 5, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Omaha, NE. The record was last updated on Oct 30, 2026.