ANN NICOLE SULLIVAN PA-C
NPI 1073609707
Physician Assistant in Jacksonville, FL
About Ann Nicole Sullivan Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANN NICOLE SULLIVAN PA-C (NPI 1073609707) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9113026) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ann Nicole Sullivan Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Medical Center - Jacksonville
Acute Care Hospitals · Jacksonville, FLBaptist Medical Center Beaches
Acute Care Hospitals · Jacksonville Beach, FLHca Florida Memorial Hospital
Acute Care Hospitals · Jacksonville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ann Sullivan's NPI number?
The NPI number for Ann Sullivan is 1073609707. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Ann Nicole Sullivan P.A..
Where is Ann Sullivan located?
Ann Sullivan practices at 1301 Palm Ave, Jacksonville, FL 32207. The listed phone number is (904) 202-7300.
What is Ann Sullivan's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Ann Sullivan enrolled in Medicare?
Yes. Ann Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Ann Sullivan accept?
Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Ann Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Ann Sullivan affiliated with any hospitals?
According to CMS data, Ann Sullivan is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches and Hca Florida Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Ann Sullivan was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ann Nicole Sullivan, PA-C · NPI 1073609707
Physician Assistant physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1073609707 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA9113026 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 PALM AVE, Jacksonville, FL 32207-8432
- **Phone:** (904) 202-7300 · **Fax:** (904) 202-2754
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 8, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1073609707) · Data from the CMS NPPES public registry.