ELIZABETH DANIELLE SUTTON PA-C
NPI 1730424375
Physician Assistant in Nashville, TN

Active since December 08, 2012PECOS EnrolledAccepts Medicare Assignment
5201 CHARLOTTE PIKE, NASHVILLE, TN 37209(615) 222-1900(615) 222-1917 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 6, 2023, May 24, 2018 (2 updates tracked since 2018).

About Elizabeth Danielle Sutton Pa-c NPPES

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

ELIZABETH DANIELLE SUTTON PA-C (NPI 1730424375) is an individual physician assistant in Nashville, Tennessee, licensed in Tennessee (2265) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1730424375
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZABETH DANIELLE SUTTONCredential: PA-C
Location Address5201 CHARLOTTE PIKENashville, TN 37209
Mailing Address300 20th Ave N Ste 403Nashville, TN 37203-2131 · (615) 284-7283 · Fax (615) 284-7501
Fax(615) 222-1917
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 8, 2012
Last NPPES UpdateFebruary 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
NPI 1730424375 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 TN · 2265
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.

5201 CHARLOTTE PIKE, Nashville, TN 37209

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

Elizabeth Danielle Sutton Pa-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 ID5092969311
PECOS Enrollment IDI20130213000364
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
70 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37209 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$205.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Women's Health)
5201 CHARLOTTE PIKE
NASHVILLE, TN 37209
Nurse Practitioner (Family)
5201 CHARLOTTE PIKE
NASHVILLE, TN 37209
Nurse Practitioner (Family)
5201 CHARLOTTE PIKE
NASHVILLE, TN 37209
Nurse Practitioner (Family)
5201 CHARLOTTE PIKE
NASHVILLE, TN 37209
Nurse Practitioner (Family)
5201 CHARLOTTE PIKE
NASHVILLE, TN 37209
Nurse Practitioner (Family)
5201 CHARLOTTE PIKE
NASHVILLE, TN 37209
Dietitian, Registered
5201 CHARLOTTE PIKE
NASHVILLE, TN 37209
Nurse Practitioner (Family)
5201 CHARLOTTE PIKE
NASHVILLE, TN 37209

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 Elizabeth Sutton's NPI number?

The NPI number for Elizabeth Sutton is 1730424375. It was assigned to this individual provider in the NPPES registry on December 8, 2012.

Where is Elizabeth Sutton located?

Elizabeth Sutton practices at 5201 Charlotte Pike, Nashville, TN 37209. The listed phone number is (615) 222-1900.

What is Elizabeth Sutton's specialty?

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

Is Elizabeth Sutton enrolled in Medicare?

Yes. Elizabeth Sutton 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 Elizabeth Sutton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Elizabeth Sutton 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 Elizabeth Sutton was last updated on February 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.