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JACK PFEILSTICKER M D P A
NPI 1265573018
Clinic/Center - Primary Care in Bradenton, FL

Active since February 12, 2007
4701 MANATEE AVE W, BRADENTON, FL 34209(941) 747-2282(941) 757-0656 Get Directions Write a Review

NPPES record last updated: April 8, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jack Pfeilsticker M D P A NPPES

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

JACK PFEILSTICKER M D P A (NPI 1265573018) is a healthcare organization registered as a primary care in Bradenton, Florida and active in the NPI registry since February 2007. The organization lists John Andrew Pfeilsticker, Owner, as its authorized official.

NPPES Registry Identity

NPI1265573018
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJACK PFEILSTICKER M D P A
Location Address4701 MANATEE AVE WBradenton, FL 34209-3851
Mailing Address4701 Manatee Ave WBradenton, FL 34209-3851 · (941) 747-2282 · Fax (941) 757-0656
Phone(941) 747-2282
Fax(941) 757-0656
Organization SubpartNo
Authorized OfficialJohn Andrew PfeilstickerOwner · (941) 747-2282
Enumeration DateFebruary 12, 2007
Last NPPES UpdateApril 8, 2011
✔ NPI 1265573018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · ME46226
4701 MANATEE AVE W, Bradenton, FL 34209
Open in Google Maps ↗

Other Identifiers 3

Medicaid266225600FL
Medicare ID-Type UnspecifiedK5861FL
Medicare UPIND86033FL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Pfeilsticker M D P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jack Pfeilsticker M D P A, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Pfeilsticker, M.D.
Emergency Medicine
NPI 1609889567
6302 MANATEE AVE W SUITE I-2
Bradenton, FL 34209
(941) 747-2282
✔ PECOS✔ Accepts Medicare1.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jack Pfeilsticker M D P A's NPI number?

The NPI number for Jack Pfeilsticker M D P A is 1265573018. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Jack Pfeilsticker M D P A located?

Jack Pfeilsticker M D P A is located at 4701 Manatee Ave W, Bradenton, FL 34209. The listed phone number is (941) 747-2282.

What is Jack Pfeilsticker M D P A's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Jack Pfeilsticker M D P A enrolled in Medicare?

Yes. Jack Pfeilsticker M D P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jack Pfeilsticker M D P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Jack Pfeilsticker M D P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jack Pfeilsticker M D P A was last updated on April 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.