JONATHAN THOMAS NUSBAUM PA-C
NPI 1255931325
Physician Assistant in Sarasota, FL

Q: What is Jonathan Nusbaum's NPI number?

The NPI number for Jonathan Nusbaum is 1255931325. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Q: What is Jonathan Nusbaum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Nusbaum was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 28, 2020PECOS EnrolledAccepts Medicare Assignment

78.8/100

CMS Quality Rating

1700 S TAMIAMI TRL, SARASOTA, FL 34239(941) 917-4896(941) 917-6884 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2020, Oct 28, 2020 (2 updates tracked since 2020).

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About Jonathan Thomas Nusbaum Pa-c NPPES

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

JONATHAN THOMAS NUSBAUM PA-C (NPI 1255931325) is an individual physician assistant in Sarasota, Florida, licensed in Florida (PA9113497) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Shorepoint Health Port Charlotte, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255931325

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJONATHAN THOMAS NUSBAUMCredential: PA-C

Location Address1700 S TAMIAMI TRLSarasota, FL 34239-3509

Mailing Address200 N Lakemont AveWinter Park, FL 32792-3273 · (407) 303-7283 · Fax (407) 303-0347

Phone(941) 917-4896

Fax(941) 917-6884

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 28, 2020

Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2026

✔ NPI 1255931325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9113497

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.

1700 S TAMIAMI TRL, Sarasota, FL 34239

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Secondary Practice Locations 2

Location 1200 N Lakemont AveWinter Park, FL 32792-3273 · Phone (407) 303-7283 · Fax (407) 303-0347

Location 221260 Olean Blvd Ste 200Port Charlotte, FL 33952-6742 · Phone (941) 625-0600 · Fax (941) 624-0941

Other Identifiers 1

Medicaid109137800FL

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

Jonathan Thomas Nusbaum 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.

PECOS PAC ID8426460676

PECOS Enrollment IDI20201214000598

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.

Areas of Expertise CMS Part B claims 2

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

102 services97 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shorepoint Health Port Charlotte

Acute Care Hospitals · Port Charlotte, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100077

Location2500 Harbor BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services Birthing friendly

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100359

Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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.

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.

78.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.37

Promoting Interoperability

Improvement Activities

Cost

50.81

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.

DR. ELIJAH KIM M.D.

Surgery (Surgical Critical Care)