JONATHAN DULLEN CAA
NPI 1366320681
Anesthesiologist Assistant in Tampa, FL

Q: 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.

Q: What is Jonathan Dullen's specialty?

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

Q: 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 11 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 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: August 16, 2026.

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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 Adventhealth Tampa 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

Phone(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

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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 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

Hospital Affiliations CMS Care Compare

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

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.

ELEANOR INNOCENT DPT

Physical Therapist