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RECHELIEU LUBAN SUDARIO APRN
NPI 1649919697
Nurse Practitioner - Family in Orange Park, FL

Active since May 28, 2022PECOS EnrolledAccepts Medicare Assignment
2233 PARK AVE STE 403&405, ORANGE PARK, FL 32073(904) 688-3000(904) 688-3001 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2023, Nov 1, 2022, May 28, 2022 (3 updates tracked since 2022).

About Rechelieu Luban Sudario Aprn NPPES

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

RECHELIEU LUBAN SUDARIO APRN (NPI 1649919697) is an individual family provider in Orange Park, Florida, licensed in Florida (APRN11019872) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fleming Island, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649919697
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRECHELIEU LUBAN SUDARIOCredential: APRN
Location Address2233 PARK AVE STE 403&405Orange Park, FL 32073-5570
Mailing Address23343 Nw County Road 236High Springs, FL 32643-9669 · (386) 454-0698
Phone(904) 688-3000
Fax(904) 688-3001
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 28, 2022
Last NPPES UpdateJune 2, 20233 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1649919697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11019872
2233 PARK AVE STE 403&405, Orange Park, FL 32073
Open in Google Maps ↗

Secondary Practice Location 1

Location 12349 Village Square Pkwy Ste 110-111Fleming Island, FL 32003-6355 · Phone (904) 385-2023 · Fax (904) 385-2454

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Molina Healthcare and more.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

Rechelieu Luban Sudario Aprn 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 ID3779967781
PECOS Enrollment IDI20220824003761
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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 2

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

TRENTON MEDICAL CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2233 PARK AVE STE 403&405
ORANGE PARK, FL 32073
Clay County (904) 688-3000
AMY CONNELL APRN
Nurse Practitioner (Family)
2233 PARK AVE STE 403&405
ORANGE PARK, FL 32073
Clay County (904) 688-3000

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 Rechelieu Sudario's NPI number?

The NPI number for Rechelieu Sudario is 1649919697. It was assigned to this individual provider in the NPPES registry on May 28, 2022.

Where is Rechelieu Sudario located?

Rechelieu Sudario practices at 2233 Park Ave Ste 403&405, Orange Park, FL 32073. The listed phone number is (904) 688-3000.

What is Rechelieu Sudario's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rechelieu Sudario enrolled in Medicare?

Yes. Rechelieu Sudario 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 Rechelieu Sudario accept?

Health plans from Ambetter Health, Ambetter of Alabama, Molina Healthcare and Wellpoint list Rechelieu Sudario 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.

When was this NPI record last updated?

The NPPES record for Rechelieu Sudario was last updated on June 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.