Ann Nicole Sullivan, PA-C - Medicare Physician Assistant in Jacksonville, FL

Ann Nicole Sullivan, PA-C is a medicare enrolled "Physician Assistant" in Jacksonville, Florida. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Baptist Md Anderson Cancer Physicians Inc and her current practice location is 1301 Palm Ave, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 202-7300.

Ann Nicole Sullivan is licensed to practice in Florida (license number PA9113026) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073609707.

Contact Information

Ann Nicole Sullivan, PA-C
1301 Palm Ave,
Jacksonville, FL 32207-8432
(904) 202-7300
(904) 202-7433

Map and Direction




Provider's Profile

Full NameAnn Nicole Sullivan
GenderFemale
SpecialityPhysician Assistant
Experience14 Years
Location1301 Palm Ave, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ann Nicole Sullivan graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1073609707
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 05/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1456441609
  • Enrollment ID: I20200313000845

Medical Identifiers

Medical identifiers for Ann Nicole Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073609707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA03286 (Texas)Secondary
363AM0700XPhysician Assistant - Medical PA3713 (Colorado)Secondary
363AS0400XPhysician Assistant - Surgical PA3713 (Colorado)Secondary
363AS0400XPhysician Assistant - Surgical PA9113026 (Florida)Secondary
363A00000XPhysician Assistant PA9113026 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Md Anderson Cancer Physicians Inc599193206399

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ann Nicole Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ann Nicole Sullivan, PA-C
Po Box 746654,
Atlanta, GA 30374-6654

Ph: (904) 202-2092
Ann Nicole Sullivan, PA-C
1301 Palm Ave,
Jacksonville, FL 32207-8432

Ph: (904) 202-7300

Reviews and Comments


Physician Assistant Nurses in Jacksonville, FL

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.