NICOLE SULTAN
NPI 1770045056
Physician Assistant in Jacksonville, FL

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
14546 OLD SAINT AUGUSTINE RD STE 402, JACKSONVILLE, FL 32258(904) 245-1328(904) 562-5335 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2024, Jun 23, 2023, Oct 31, 2022 and 5 more (8 updates tracked since 2019).

About Nicole Sultan NPPES

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

NICOLE SULTAN (NPI 1770045056) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9113550) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1770045056
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE SULTAN
Location Address14546 OLD SAINT AUGUSTINE RD STE 402Jacksonville, FL 32258-5473
Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806
Fax(904) 562-5335
Sole ProprietorYes
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2020
Enumeration DateApril 4, 2019
Last NPPES UpdateApril 15, 20248 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
NPI 1770045056 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 FL · PA9113550
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.
14546 OLD SAINT AUGUSTINE RD STE 402, Jacksonville, FL 32258

Other Names 1

Other Name (5)Nicole Sultan Benarroch

Secondary Practice Location 1

Location 11150 NW 14th St, Miami, FL 33136Miami, FL 33136 · Phone (305) 243-6090

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

Nicole Sultan 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 ID8729479597
PECOS Enrollment IDI20220105001754
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 13

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 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.
301 services208 patients
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.
192 services143 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
178 services156 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
134 services108 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
57 services57 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 4

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

Physician Assistant
14546 OLD SAINT AUGUSTINE RD STE 402
JACKSONVILLE, FL 32258
Physical Therapist
14546 OLD SAINT AUGUSTINE RD STE 402
JACKSONVILLE, FL 32258
Physical Therapist
14546 OLD SAINT AUGUSTINE RD STE 402
JACKSONVILLE, FL 32258
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
14546 OLD SAINT AUGUSTINE RD STE 402
JACKSONVILLE, FL 32258

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 Nicole Sultan's NPI number?

The NPI number for Nicole Sultan is 1770045056. It was assigned to this individual provider in the NPPES registry on April 4, 2019. The provider is also known as Nicole Sultan Benarroch.

Where is Nicole Sultan located?

Nicole Sultan practices at 14546 Old Saint Augustine Rd Ste 402, Jacksonville, FL 32258. The listed phone number is (904) 245-1328.

What is Nicole Sultan's specialty?

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

Is Nicole Sultan enrolled in Medicare?

Yes. Nicole Sultan 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 Nicole Sultan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Nicole Sultan 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 Nicole Sultan affiliated with any hospitals?

According to CMS data, Nicole Sultan is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Nicole Sultan was last updated on April 15, 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.