JENNIFER LEE TULLI PAC
NPI 1669695037
Physician Assistant - Surgical in Gainesville, FL

Q: What is Jennifer Tulli's NPI number?

The NPI number for Jennifer Tulli is 1669695037. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Q: What is Jennifer Tulli's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Tulli was last updated on October 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2007PECOS Enrolled

1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 265-2504 Get Directions Write a Review

NPPES record last updated: October 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jennifer Lee Tulli Pac NPPES

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

JENNIFER LEE TULLI PAC (NPI 1669695037) is an individual surgical provider in Gainesville, Florida, licensed in Florida (PA9104122) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669695037

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJENNIFER LEE TULLICredential: PAC

Location Address1600 SW ARCHER RDGainesville, FL 32610-3003

Mailing AddressPo Box 100129Gainesville, FL 32610-0129 · (352) 273-5505

Phone(352) 265-2504

Sole ProprietorNo

Enumeration DateApril 11, 2007

Last NPPES UpdateOctober 11, 2020

NPPES CertifiedOctober 11, 2020

✔ NPI 1669695037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9104122

1600 SW ARCHER RD, Gainesville, FL 32610

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Other Identifiers 1

Medicaid292801900FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lee Tulli Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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