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SALLY AUSTILL BARDIN PA-C
NPI 1184577694
Physician Assistant in Jacksonville, FL

Active since February 16, 2026PECOS Enrolled
1550 RIVERSIDE AVE STE A, JACKSONVILLE, FL 32204(904) 923-6647(904) 355-7788 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sally Austill Bardin Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY AUSTILL BARDIN PA-C (NPI 1184577694) is an individual physician assistant in Jacksonville, Florida and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2025).

NPPES Registry Identity

NPI1184577694
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSALLY AUSTILL BARDINCredential: PA-C
Location Address1550 RIVERSIDE AVE STE AJacksonville, FL 32204-4162
Mailing Address1550 Riverside Ave Ste AJacksonville, FL 32204-4162 · (904) 923-6647 · Fax (904) 355-7788
Phone(904) 923-6647
Fax(904) 355-7788
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2025
Enumeration DateFebruary 16, 2026
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1184577694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1550 RIVERSIDE AVE STE A, Jacksonville, FL 32204
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Austill Bardin Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294204103
PECOS Enrollment IDI20260520000126
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY PALHEGYI PA-C
Physician Assistant
1550 RIVERSIDE AVE STE A
JACKSONVILLE, FL 32204
Duval County (904) 923-6647
JULIA ENGLAND PA-C
Physician Assistant
1550 RIVERSIDE AVE STE A
JACKSONVILLE, FL 32204
Duval County (904) 923-6647
MORGAN CROOK
Physician Assistant
1550 RIVERSIDE AVE STE A
JACKSONVILLE, FL 32204
Duval County (904) 923-6647
JENNIFER ELLEN DUANY
Physician Assistant
1550 RIVERSIDE AVE STE A
JACKSONVILLE, FL 32204
Duval County (904) 923-6647
KALIN SAWDO PA
Physician Assistant
1550 RIVERSIDE AVE STE A
JACKSONVILLE, FL 32204
Duval County (904) 923-6647
KATHRYN MARY MANSUETI
Physician Assistant
1550 RIVERSIDE AVE STE A
JACKSONVILLE, FL 32204
Duval County (904) 923-6647

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 Sally Bardin's NPI number?

The NPI number for Sally Bardin is 1184577694. It was assigned to this individual provider in the NPPES registry on February 16, 2026.

Where is Sally Bardin located?

Sally Bardin practices at 1550 Riverside Ave Ste A, Jacksonville, FL 32204. The listed phone number is (904) 923-6647.

What is Sally Bardin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sally Bardin enrolled in Medicare?

Yes. Sally Bardin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Bardin was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.