JESSICA MARIE POLUTCHKO PA-C
NPI 1750065942
Physician Assistant in Port St Lucie, FL

Active since June 09, 2023PECOS EnrolledAccepts Medicare Assignment
10080 SW INNOVATION WAY STE 201, PORT ST LUCIE, FL 34987(772) 345-8100 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2025, Apr 1, 2025, Oct 17, 2023 and 1 more (4 updates tracked since 2023).

About Jessica Marie Polutchko Pa-c NPPES

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

JESSICA MARIE POLUTCHKO PA-C (NPI 1750065942) is an individual physician assistant in Port St Lucie, Florida, licensed in Florida (PA9117407) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains a secondary practice location in Stuart.

NPPES Registry Identity

NPI1750065942
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA MARIE POLUTCHKOCredential: PA-C
Location Address10080 SW INNOVATION WAY STE 201Port St Lucie, FL 34987-2129
Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 9, 2023
Last NPPES UpdateDecember 11, 20254 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1750065942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9117407
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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 9117407 (FL)
10080 SW INNOVATION WAY STE 201, Port St Lucie, FL 34987

Other Names 1

Former Name (1)Jessica Byrne Pa-c

Secondary Practice Location 1

Location 13801 S Kanner HwyStuart, FL 34994-4801 · Phone (772) 223-4999

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

Jessica Marie Polutchko 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 ID1951757202
PECOS Enrollment IDI20231024000783
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34987 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES 14

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

Surgery (Vascular Surgery)
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987
Internal Medicine
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987
Internal Medicine (Gastroenterology)
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987
Nurse Practitioner
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987
Family Medicine (Adult Medicine)
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987
Surgery
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987
Internal Medicine (Rheumatology)
10080 SW INNOVATION WAY STE 201
PORT SAINT LUCIE, FL 34987
Internal Medicine (Gastroenterology)
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750065942, enumerated as an "individual" on June 09, 2023.

The provider is located at 10080 SW INNOVATION WAY STE 201 PORT ST LUCIE, FL 34987 and the phone number is (772) 345-8100.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.

Jessica Polutchko is affiliated with: CLEVELAND CLINIC MARTIN NORTH HOSPITAL.