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: November 01, 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
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

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

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Rechelieu Sudario reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
2233 PARK AVE STE 403&405
Orange Park, FL 32073
  • Reassigned Medicare billing, Florida enrollment
  • 59 clinicians in this Medicare group
Geriatric Medicine
4641 OLD CANOE CREEK RD
Saint Cloud, FL 34769
  • Reassigned Medicare billing, Florida enrollment
  • 57 clinicians in this Medicare group
Nurse Practitioner
4400 BAYOU BLVD STE 54A
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 34 clinicians in this Medicare group
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Florida enrollment
  • 102 clinicians in this Medicare group
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Florida enrollment
  • 52 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.

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
2233 PARK AVE STE 403&405
ORANGE PARK, FL 32073
Nurse Practitioner (Family)
2233 PARK AVE STE 403&405
ORANGE PARK, FL 32073

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.

Which organizations bill Medicare for Rechelieu Sudario's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rechelieu Sudario reassigns Medicare benefits to 5 organizations: Trenton Medical Center Inc (Orange Park, FL), Altea Medical Florida PLLC (Saint Cloud, FL), Shc Medical Partners Of Florida, LLC (Pensacola, FL), Post Acute Medical PLLC (Lanham, MD) and Provider Partners Care Management LP (Columbia, MD). Each 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 Rechelieu Sudario's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rechelieu Sudario accept?

Health plans from Ambetter Health, Ambetter of Alabama and UnitedHealthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.