Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073609707 Individual Practitioner Female Practitioner

Ann Nicole Sullivan , PA-C

Physician Assistant • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ann Sullivan, PA-C is a certified Physician Assistant practicing in Jacksonville, FL. With approximately 16 years of clinical experience since completing medical education in 2010, Ann Sullivan delivers high-quality medical care to the local community at 1301 PALM AVE.

Ann Sullivan is affiliated with Memorial Family Practice Associates, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of shoulder, minimum of 2 views, x-ray of hip, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1301 Palm Ave

Jacksonville, FL 322078432

Telephone 9042027300
Fax 9042022754
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +4.8 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (16 Years) 16 Yrs
Jacksonville Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 12 $317.00 $113.00

Medical Specialties & State Licenses

CMS Verified: 2025-07-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9113026

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License CO PA3713

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License FL PA9113026

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License TX PA03286

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License CO PA3713

Definition to come...

Hospital & Practice Group Affiliations

Memorial Family Practice Associates, Llc

3625 University Blvd S, Jacksonville, FL 322164207

Phone: 9043996111

Memorial Family Practice Associates, Llc

1731 University Blvd S, Jacksonville, FL 322168928

Phone: 9047250200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. George Filosa , MD

Colon & Rectal Surgery

NPI 1013396647

Doctor of Medicine (M.D.)

NPI 1013436252

Master of Science, MSPAS, Physician Assistant (Certified)

Victoria Grusauskas

Pharmacist - Oncology

NPI 1013838374
Dr. Mohammed Alqawasma , MD

Internal Medicine - Pulmonary Disease

NPI 1033671276

Doctor of Medicine (M.D.)

April Reagan , FNP-C, CNM

Nurse Practitioner

NPI 1043330475

Family Nurse Practitioner (Certified), Certified Nurse Midwife

Dr. Ina Jani , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1043600679

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2025

Physician Assistant (License #PA3713 in CO)

📍
Updated Practice Location May 31, 2022

Registered at 1301 PALM AVE, JACKSONVILLE, FL 322078432 (Tel: 9042027300)

📍
Updated Business Mailing Address May 31, 2022

Registered at PO BOX 746654, ATLANTA, GA 303746654 (Tel: 9042022092)

👤
Provider Name / Credentials Updated May 31, 2022

Recorded as ANN SULLIVAN, PA-C

📍
Updated Practice Location February 19, 2020

Registered at 305 MEMORIAL MEDICAL PKWY STE 308, DAYTONA BEACH, FL 321175137 (Tel: 3862313600)

📍
Updated Business Mailing Address February 19, 2020

Registered at 305 MEMORIAL MEDICAL PKWY STE 308, DAYTONA BEACH, FL 321175137 (Tel: 3862313600)

👤
Provider Name / Credentials Updated February 19, 2020

Recorded as ANN SULLIVAN, PA

NPI Profile Active August 06, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2014

Registered at 4500 E 9TH AVE, SUITE 150, DENVER, CO 802203912 (Tel: 3034070280)

📍
Updated Business Mailing Address August 06, 2014

Registered at 4500 E 9TH AVE, SUITE 150, DENVER, CO 802203912 (Tel: 3034070280)

👤
Provider Name / Credentials Updated August 06, 2014

Recorded as ANN SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2014

Physician Assistant (License #PA03286 in TX)

🟢
Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073609707
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 08, 2025
Sole Proprietor: No

Mailing Address

Po Box 746654

Atlanta, GA 303746654

Phone: 9042022092

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.