DR. JALICIA STURDIVANT DO
NPI 1750919023
Family Medicine in Surprise, AZ

Q: What is Jalicia Sturdivant's NPI number?

The NPI number for Jalicia Sturdivant is 1750919023. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Jalicia Sturdivant's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment

15351 W BELL RD, SURPRISE, AZ 85374(480) 964-2273(623) 214-5214 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2024, Jun 23, 2020, Mar 31, 2020 (3 updates tracked since 2020).

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About Dr. Jalicia Sturdivant Do NPPES

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

DR. JALICIA STURDIVANT DO (NPI 1750919023) is an individual family medicine provider in Surprise, Arizona, licensed in Arizona (010924) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2020).

NPPES Registry Identity

NPI1750919023

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JALICIA STURDIVANTCredential: DO

Location Address15351 W BELL RDSurprise, AZ 85374-4580

Mailing Address3033 N Central Ave Ste 145Phoenix, AZ 85012-2808 · (480) 964-2273 · Fax (623) 974-6721

Phone(480) 964-2273

Fax(623) 214-5214

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2020

Enumeration DateMarch 31, 2020

Last NPPES UpdateJune 20, 20243 updates tracked since enumeration

NPPES CertifiedAugust 17, 2023

✔ NPI 1750919023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 010924

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 95609 (GA)

15351 W BELL RD, Surprise, AZ 85374

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Other Identifiers 1

Medicaid201144AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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

Dr. Jalicia Sturdivant Do 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 ID6608299151

PECOS Enrollment IDI20230825002224, I20240705000003

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

Medicare enrollment records show Jalicia Sturdivant reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adelante Healthcare Inc

Same address

Federally Qualified Health Center (FQHC)

15317 W BELL RD STE 100
Surprise, AZ 85374

Reassigned Medicare billing, Arizona enrollment
234 clinicians in this Medicare group

NPI 1003293465 (480) 964-2273

Maricopa County Special Health Care District

13 mi

Adult Mental Health

950 E VAN BUREN ST
Avondale, AZ 85323

Reassigned Medicare billing, Arizona enrollment
285 clinicians in this Medicare group

NPI 1043679327 (602) 344-2520

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 85374 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 20

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

DR. PAULINA ELISE MARIKI-MHANGO MD

Pediatrics