Ann Nicole Sullivan, PA-C
NPI 1073609707ActiveIndividual· Physician Assistant· Jacksonville, FL
Physician Assistant (PA-C) with Memorial Family Practice Associates, LLC, practicing in Jacksonville, Florida. Mostly services rather than prescriptions: Medicare paid $6,340 for 39 patients in 2024, with only 35 Part D claims. Merck Sharp & Dohme LLC was the largest of 2 companies reporting payments in 2025, $61.11 in all, mostly food and beverage. Lists Baptist Health Medical Center - Jacksonville and 1 other hospital as hospital affiliations.
Overview
| NPI | 1073609707 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 4, 2006 |
| Last updated in NPPES | Jul 8, 2025 |
| Certified by provider | Jul 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9113026 | FL |
| Physician Assistant, Surgical | 363AS0400X | PA3713 | CO |
| Physician Assistant, Surgical | 363AS0400X | PA9113026 | FL |
| Physician Assistant | 363A00000X | PA03286 | TX |
| Physician Assistant, Medical | 363AM0700X | PA3713 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CO); Practitioner - Physician Assistant (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 39 |
|---|---|
| Services billed | 55 across 24 procedure codes |
| Paid by Medicare | $6,340 |
Part D prescriptions in 2024
| Prescriptions (claims) | 35 · 39 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $826.27 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Memorial Family Practice Associates, LLCOrange Park, FL · 51 clinicians
Hospital affiliations
- Baptist Health Medical Center - JacksonvilleJacksonville, FL
- HCA Florida Memorial HospitalJacksonville, FL
Industry payments (Open Payments)
- 2025$61.11 · 2 payments from 2 companies
- 2024$306.71 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $31.51 | 1 |
| Ge Healthcare | $29.60 | 1 |
What the 2025 payments were for
- Food and Beverage$61.11 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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