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Active NPI 1255931325 Individual Practitioner Male Practitioner

Jonathan Thomas Nusbaum , PA-C

Physician Assistant • Sarasota, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jonathan Nusbaum, PA-C is a certified Physician Assistant practicing in Sarasota, FL. With approximately 6 years of clinical experience since completing medical education in 2020, Jonathan Nusbaum delivers high-quality medical care to the local community at 1700 S TAMIAMI TRL.

Jonathan Nusbaum maintains professional affiliations with Smh Physician Services Inc, Florida Hospital Medical Group Inc, Florida Hospital Healthcare Partners, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, ultrasonic guidance for blood vessel access, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1700 S Tamiami Trl

Sarasota, FL 342393509

Telephone 9419174896
Fax 9419176884
Associated Practice Facility / Clinic
🏢 Smh Radiology Associates Pa Facility NPI 1356323331

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sarasota, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
178 Specialists

Practicing in Sarasota, FL (10376 Statewide)

Telehealth Adoption Rate
3.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nusbaum (6 Years) 6 Yrs
Sarasota Specialty Average (10.1 Years) 10.1 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
99291 Critical care, first 30-74 minutes
102 97 $531.65 $178.23
76937 Ultrasonic guidance for blood vessel access
11 11 $75.27 $11.65

Medical Specialties & State Licenses

CMS Verified: 2026-02-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9113497

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
109137800 (FL)

Hospital & Practice Group Affiliations

Smh Physician Services Inc

1921 Waldemere St, Sarasota, FL 342392941

Smh Physician Services Inc

1700 S Tamiami Trail, Sarasota, FL 342393509

Florida Hospital Healthcare Partners, Inc

1055 Saxon Blvd, Orange City, FL 327638468

Phone: 3869175000

Smh Physician Services Inc

1700 S Tamiami Trl, Sarasota, FL 342393509

Phone: 9419177760

Florida Hospital Medical Group Inc

2600 Westhall Ln, Maitland, FL 327517102

Phone: 4072002700

Smh Physician Services Inc

2600 Laurel Rd E, Nokomis, FL 342753226

Phone: 9419174896

Secondary Practice Locations

200 N Lakemont Ave

Winter Park, FL 327923273

Phone: 4073037283

21260 Olean Blvd Ste 200

Port Charlotte, FL 339526742

Phone: 9416250600

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Enrico Vintayen , MD

Psychiatry & Neurology - Neurology

NPI 1003103706

Doctor of Medicine (M.D.)

Dr. Viralkumar Patel , MD

Internal Medicine

NPI 1003310095

Doctor of Medicine (M.D.)

NPI 1013571975

APRN(FNPC)

Krystian Bonilla

Internal Medicine

NPI 1033571245
Jennifer Oberhart

Internal Medicine

NPI 1043674179
Dr. John Ebone , DO

Internal Medicine

NPI 1043674468

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Business Mailing Address February 10, 2026

Registered at 200 N LAKEMONT AVE, WINTER PARK, FL 327923273 (Tel: 4073037283)

📍
Updated Practice Location September 01, 2021

Registered at 1700 S TAMIAMI TRL, SARASOTA, FL 342393509 (Tel: 9419174896)

📍
Updated Business Mailing Address September 01, 2021

Registered at PO BOX 863407, ORLANDO, FL 328863407 (Tel: 9419172600)

📍
Updated Practice Location December 07, 2020

Registered at 21260 OLEAN BLVD STE 200, PORT CHARLOTTE, FL 339526742 (Tel: 9416250600)

📍
Updated Business Mailing Address December 07, 2020

Registered at 21260 OLEAN BLVD STE 200, PORT CHARLOTTE, FL 339526742 (Tel: 9416250600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2020

Physician Assistant (License #PA9113497 in FL)

NPI Profile Active October 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2020

Registered at 26160 ANGELICA RD, PUNTA GORDA, FL 339551419 (Tel: 9419164637)

📍
Updated Business Mailing Address October 28, 2020

Registered at 26160 ANGELICA RD, PUNTA GORDA, FL 339551419 (Tel: 9419164637)

👤
Provider Name / Credentials Updated October 28, 2020

Recorded as JONATHAN NUSBAUM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2020

Physician Assistant (License #PA9113497 in FL)

🟢
Initial NPI Registration & Enumeration October 28, 2020

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: 1255931325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2020
Last Update: February 10, 2026
Sole Proprietor: No

Mailing Address

200 N Lakemont Ave

Winter Park, FL 327923273

Phone: 4073037283

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.