JONATHAN DULLEN CAA
NPI 1366320681
Anesthesiologist Assistant in Tampa, FL

Active since August 25, 2025Accepts Medicare Assignment
3100 E FLETCHER AVE, TAMPA, FL 33613(813) 971-6000 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan Dullen Caa NPPES

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

JONATHAN DULLEN CAA (NPI 1366320681) is an individual anesthesiologist assistant in Tampa, Florida and active in the NPI registry since August 2025. He is affiliated with Florida Hospital Carrollwood and is a graduate of Nova Southeastern College Of Osteo Medicine (2025).

NPPES Registry Identity

NPI1366320681
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameJONATHAN DULLENCredential: CAA
Location Address3100 E FLETCHER AVETampa, FL 33613-4613
Mailing Address3100 E Fletcher AveTampa, FL 33613-4613 · (813) 971-6000
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2025
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1366320681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
3100 E FLETCHER AVE, Tampa, FL 33613

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Dullen Caa 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 ID7012401110
PECOS Enrollment IDI20251216000223

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Dullen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
3100 E FLETCHER AVE
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 749 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Florida Hospital Carrollwood

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100069
Location7171 N Dale Mabry HwyTampa, FL 33614 · Hillsborough County
Emergency services

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

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.

Physical Therapist
3100 E FLETCHER AVE
TAMPA, FL 33613
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Student in an Organized Health Care Education/Training Program
3100 E FLETCHER AVE
TAMPA, FL 33613
Nurse Practitioner
3100 E FLETCHER AVE
TAMPA, FL 33613
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613

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 Jonathan Dullen's NPI number?

The NPI number for Jonathan Dullen is 1366320681. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Jonathan Dullen located?

Jonathan Dullen practices at 3100 E Fletcher Ave, Tampa, FL 33613. The listed phone number is (813) 971-6000.

What is Jonathan Dullen's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Jonathan Dullen enrolled in Medicare?

Yes. Jonathan Dullen 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.

Which organization bills Medicare for Jonathan Dullen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Dullen reassigns Medicare benefits to Greater Florida Anesthesiologists, LLC (Tampa, FL). The 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 Jonathan Dullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Dullen accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Jonathan Dullen 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 Jonathan Dullen affiliated with any hospitals?

According to CMS data, Jonathan Dullen is affiliated with Florida Hospital Carrollwood and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Jonathan Dullen was last updated on August 25, 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.