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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: August 16, 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 is a graduate of Other (2023).

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
Phone(772) 345-8100
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
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Other Names 1

Former Name (1)Jessica Byrne Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.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.

JENNIFER MORALES ROYALL PA
Physician Assistant
10080 SW INNOVATION WAY STE 201
PORT SAINT LUCIE, FL 34987
St. Lucie County (772) 288-5862
DR. KONSTANTIN ALEKSEYENKO DO
Family Medicine (Adult Medicine)
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987
St. Lucie County (772) 344-3811
DR. KATHLEEN MARIE BERKOWITZ MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987
St. Lucie County (772) 345-5280
DR. MONA F FAKHRY MD
Internal Medicine
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987
St. Lucie County (772) 344-3811
SOPHIE TRUJILLO
Internal Medicine (Gastroenterology)
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987
St. Lucie County (772) 398-1800
JENNIFER MOODY ARNP
Nurse Practitioner
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987
St. Lucie County (772) 344-3811
HASSAN AMER M.D.
Internal Medicine (Rheumatology)
10080 SW INNOVATION WAY STE 201
PORT SAINT LUCIE, FL 34987
St. Lucie County (772) 345-8100
KEITH E SWANSON MD
Internal Medicine
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987
St. Lucie County (772) 287-5200

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 Jessica Polutchko's NPI number?

The NPI number for Jessica Polutchko is 1750065942. It was assigned to this individual provider in the NPPES registry on June 9, 2023. The provider is also known as Jessica Byrne Pa-C.

Where is Jessica Polutchko located?

Jessica Polutchko practices at 10080 SW Innovation Way Ste 201, Port St Lucie, FL 34987. The listed phone number is (772) 345-8100.

What is Jessica Polutchko's specialty?

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

Is Jessica Polutchko enrolled in Medicare?

Yes. Jessica Polutchko 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 Jessica Polutchko accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Jessica Polutchko 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.

Is Jessica Polutchko affiliated with any hospitals?

According to CMS data, Jessica Polutchko is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Polutchko was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.