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MRS. JESSICA JANE SULLIVAN PA-C
NPI 1982187142
Physician Assistant in Nutley, NJ

Active since September 12, 2018PECOS Enrolled
115 FRANKLIN AVE, NUTLEY, NJ 07110(973) 773-9250 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jessica Jane Sullivan Pa-c NPPES

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

MRS. JESSICA JANE SULLIVAN PA-C (NPI 1982187142) is an individual physician assistant in Nutley, New Jersey, licensed in New Jersey (25MP00486200) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982187142
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JESSICA JANE SULLIVANCredential: PA-C
Location Address115 FRANKLIN AVENutley, NJ 07110-2924
Mailing Address23 W ParkwayPequannock, NJ 07440-1709 · (973) 452-1290
Phone(973) 773-9250
Sole ProprietorNo
Enumeration DateSeptember 12, 2018
✔ NPI 1982187142 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 NJ · 25MP00486200
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.
115 FRANKLIN AVE, Nutley, NJ 07110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Jane Sullivan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 07110 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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 6

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

KAITLYN MARY MCTERNAN PA-C
Physician Assistant
115 FRANKLIN AVE
NUTLEY, NJ 07110
Essex County (973) 773-9250
DR. LAURA M MATLIN AU.D.
Audiologist
115 FRANKLIN AVE
NUTLEY, NJ 07110
Essex County (973) 773-9250
ADIAM AMARE AUD
Audiologist
115 FRANKLIN AVE
NUTLEY, NJ 07110
Essex County (973) 773-9250
DR. JAN SAMIR YOUSSEF M.D.
Specialist
115 FRANKLIN AVE
NUTLEY, NJ 07110
Essex County (973) 773-9250
SINUS & DENTAL IMAGING CENTER OF NJ
Clinic/Center (Radiology)
115 FRANKLIN AVE
NUTLEY, NJ 07110
Essex County (973) 773-2348
EAR, NOSE & THROAT CENTER OF NJ
Otolaryngology
115 FRANKLIN AVE
NUTLEY, NJ 07110
Essex County (973) 773-9250

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 Sullivan's NPI number?

The NPI number for Jessica Sullivan is 1982187142. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Where is Jessica Sullivan located?

Jessica Sullivan practices at 115 Franklin Ave, Nutley, NJ 07110. The listed phone number is (973) 773-9250.

What is Jessica Sullivan's specialty?

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

Is Jessica Sullivan enrolled in Medicare?

Yes. Jessica Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Sullivan was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.