MR. MATTHEW KENT PRUSINSKI AA-C
NPI 1639579089
Anesthesiologist Assistant in Jacksonville, FL

Active since September 03, 2014Accepts Medicare Assignment
80.25/100
CMS Quality Rating
820 PRUDENTIAL DR, SUITE 606, JACKSONVILLE, FL 32207(904) 398-3356 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Matthew Kent Prusinski Aa-c NPPES

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

MR. MATTHEW KENT PRUSINSKI AA-C (NPI 1639579089) is an individual anesthesiologist assistant in Jacksonville, Florida, licensed in Florida (AA227) and active in the NPI registry since September 2014. He is affiliated with Baptist Health Medical Center - Jacksonville and is a graduate of Other (2014).

NPPES Registry Identity

NPI1639579089
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. MATTHEW KENT PRUSINSKICredential: AA-C
Location Address820 PRUDENTIAL DR, SUITE 606Jacksonville, FL 32207-8210
Mailing Address13525 Bartram Park Blvd, Unit #135Jacksonville, FL 32258-5241 · (440) 773-7630
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 3, 2014
NPI 1639579089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in FL · AA227
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.
820 PRUDENTIAL DR, Jacksonville, FL 32207

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

Mr. Matthew Kent Prusinski Aa-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 ID5698996460
PECOS Enrollment IDI20141020001340

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

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.

80.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.44
Improvement Activities40
Cost64.53

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.

Pediatrics (Pediatric Nephrology)
820 PRUDENTIAL DR, UFJP PEDIATRIC MULTI-SPECIALTY CLINIC
JACKSONVILLE, FL 32207
Registered Nurse
820 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Family Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Nurse Practitioner (Neonatal)
820 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Psychiatry & Neurology (Psychiatry)
820 PRUDENTIAL DR, SUITE 510
JACKSONVILLE, FL 32207
Emergency Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Dietitian, Registered
820 PRUDENTIAL DR, SUITE 416
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 Matthew Prusinski's NPI number?

The NPI number for Matthew Prusinski is 1639579089. It was assigned to this individual provider in the NPPES registry on September 3, 2014.

Where is Matthew Prusinski located?

Matthew Prusinski practices at 820 Prudential Dr Suite 606, Jacksonville, FL 32207. The listed phone number is (904) 398-3356.

What is Matthew Prusinski's specialty?

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

Is Matthew Prusinski enrolled in Medicare?

Yes. Matthew Prusinski 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.

Is Matthew Prusinski affiliated with any hospitals?

According to CMS data, Matthew Prusinski is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Matthew Prusinski was last updated on September 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.