MRS. MARY SUZANNE NIEMEYER
NPI 1588855951
Physician Assistant in Jacksonville, FL

Active since August 09, 2007PECOS EnrolledAccepts Medicare Assignment
836 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 510-5054 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Mary Suzanne Niemeyer NPPES

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

MRS. MARY SUZANNE NIEMEYER (NPI 1588855951) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (5601005147) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1588855951
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARY SUZANNE NIEMEYER
Location Address836 PRUDENTIAL DRJacksonville, FL 32207-8334
Mailing Address1343 Grosvenor Square DrJacksonville, FL 32207-1903 · (904) 510-5054
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 9, 2007
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
NPI 1588855951 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 · 5601005147
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.
836 PRUDENTIAL DR, Jacksonville, FL 32207

Accepted Insurance

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

Mrs. Mary Suzanne Niemeyer 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 ID1355437799
PECOS Enrollment IDI20250930002161
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.

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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 20

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

Obstetrics & Gynecology (Reproductive Endocrinology)
836 PRUDENTIAL DR, SUITE 902
JACKSONVILLE, FL 32207
Neurological Surgery
836 PRUDENTIAL DR, UFJP NEUROSURGERY - PEDIATRICS
JACKSONVILLE, FL 32207
Specialist
836 PRUDENTIAL DR, SUITE 1606
JACKSONVILLE, FL 32207
Surgery (Vascular Surgery)
836 PRUDENTIAL DR, STE 1804
JACKSONVILLE, FL 32207
Nurse Practitioner (Family)
836 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Physician Assistant (Medical)
836 PRUDENTIAL DR, SUITE 801
JACKSONVILLE, FL 32207
Physician Assistant (Surgical)
836 PRUDENTIAL DR, STE 1804
JACKSONVILLE, FL 32207
Surgery
836 PRUDENTIAL DR, SUITE 1001
JACKSONVILLE, FL 32207

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 Mary Niemeyer's NPI number?

The NPI number for Mary Niemeyer is 1588855951. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Mary Niemeyer located?

Mary Niemeyer practices at 836 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 510-5054.

What is Mary Niemeyer's specialty?

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

Is Mary Niemeyer enrolled in Medicare?

Yes. Mary Niemeyer 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.

What insurance does Mary Niemeyer accept?

Health plans from AvMed and UnitedHealthcare list Mary Niemeyer 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 Mary Niemeyer affiliated with any hospitals?

According to CMS data, Mary Niemeyer is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Mary Niemeyer was last updated on July 1, 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.