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

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: August 02, 2026.

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

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
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

Other Identifiers 1

Medicaid201144AZ

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

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.

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.

Pediatrics
15351 W BELL RD
SURPRISE, AZ 85374
Nurse Practitioner (Family)
15351 W BELL RD
SURPRISE, AZ 85374
Dietitian, Registered
15351 W BELL RD
SURPRISE, AZ 85374
Case Manager/Care Coordinator
15351 W BELL RD
SURPRISE, AZ 85374
Dental Hygienist
15351 W BELL RD
SURPRISE, AZ 85374
Pediatrics
15351 W BELL RD
SURPRISE, AZ 85374
Pediatrics
15351 W BELL RD
SURPRISE, AZ 85374
Nurse Practitioner (Family)
15351 W BELL RD
SURPRISE, AZ 85374

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 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.

Where is Jalicia Sturdivant located?

Jalicia Sturdivant practices at 15351 W Bell Rd, Surprise, AZ 85374. The listed phone number is (480) 964-2273.

What is Jalicia Sturdivant's specialty?

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

Is Jalicia Sturdivant enrolled in Medicare?

Yes. Jalicia Sturdivant 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 Jalicia Sturdivant accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Jalicia Sturdivant 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 Jalicia Sturdivant was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.