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MATTHEW SULLIVAN PA
NPI 1952079915
Physician Assistant in Jacksonville, FL

Active since September 02, 2021PECOS EnrolledAccepts Medicare Assignment
9765 SAN JOSE BLVD STE 102, JACKSONVILLE, FL 32257(904) 260-5757(904) 268-0733 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Sullivan Pa NPPES

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

MATTHEW SULLIVAN PA (NPI 1952079915) is an individual physician assistant in Jacksonville, Florida and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1952079915
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW SULLIVANCredential: PA
Location Address9765 SAN JOSE BLVD STE 102Jacksonville, FL 32257-5467
Mailing Address3748 Bowden Rd SJacksonville, FL 32216-6223 · (904) 300-8044
Phone(904) 260-5757
Fax(904) 268-0733
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 2, 2021
Last NPPES UpdateDecember 10, 2021
NPPES CertifiedDecember 10, 2021
✔ NPI 1952079915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
9765 SAN JOSE BLVD STE 102, Jacksonville, FL 32257
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Accepted Insurance

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

Matthew Sullivan Pa 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 ID1456742915
PECOS Enrollment IDI20211217001051, I20231006000728
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 7

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
301 services119 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
194 services93 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
191 services103 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.
85 services79 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
76 services76 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
24 services23 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32257 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 2

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

REMY PHILLIPS PA
Physician Assistant
9765 SAN JOSE BLVD STE 102
JACKSONVILLE, FL 32257
Duval County (904) 260-5757
MRS. STEPHANIE LYNNE JORDON ARNP-BC
Nurse Practitioner (Family)
9765 SAN JOSE BLVD STE 102
JACKSONVILLE, FL 32257
Duval County (904) 260-5757

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 Matthew Sullivan's NPI number?

The NPI number for Matthew Sullivan is 1952079915. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Matthew Sullivan located?

Matthew Sullivan practices at 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257. The listed phone number is (904) 260-5757.

What is Matthew Sullivan's specialty?

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

Is Matthew Sullivan enrolled in Medicare?

Yes. Matthew Sullivan 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 Matthew Sullivan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida and 1 other insurer list Matthew Sullivan 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 Matthew Sullivan affiliated with any hospitals?

According to CMS data, Matthew Sullivan is affiliated with Hca Florida Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Sullivan was last updated on December 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.