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Adeline Rose Sutton , PA-C

Physician Assistant β€’ Jacksonville, FL

Active NPI 1831042076 Individual Practitioner Female Practitioner
Practice location in NPPES

9905 Old Saint Augustine Rd Ste 200
Jacksonville, FL 322578983

Call 9042961313 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9905 Old Saint Augustine Rd Ste 200

Jacksonville, FL 322578983

Telephone 9042961313
Fax 8669034727
Organization at the Same NPPES Address or Phone
Scott D Warren Md Pa Facility NPI 1184662785

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Adeline Sutton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Adeline Sutton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

842 active clinicians are listed under Physician Assistant with a practice address in Jacksonville, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

20.5% of these 842 clinicians have the CMS telehealth indicator.

59.1% of these 842 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260407000965

Enrollment State Jurisdiction

FL

PECOS Control ID

2365917473

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. John Howard , DO

Dermatology - MOHS-Micrographic Surgery

NPI 1417334343

Doctor of Osteopathic Medicine (D.O.)

Dr. James Trimble , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1508092347

Doctor of Medicine (M.D.)

Rachel Warren , NP-C

Nurse Practitioner - Family

NPI 1356071658

Nurse Practitioner (Certified)

Dr. Scott Warren , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1134160294

Doctor of Medicine (M.D.)

Angela Yavny , PA-C

Physician Assistant

NPI 1740758465

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 07, 2026

Registered at 9905 OLD SAINT AUGUSTINE RD STE 200, JACKSONVILLE, FL 322578983 (Tel: 9042961313)

πŸ“
Updated Business Mailing Address April 07, 2026

Registered at 900 VILLAGE SQUARE XING STE 290, PALM BEACH GARDENS, FL 334104552 (Tel: 2393132517)

βœ…
NPI Profile Active February 17, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 17, 2026

Registered at 1130 NE 2ND AVE, MIAMI, FL 331321704 (Tel: 3058993130)

πŸ“
Business Mailing Address (Initial Record) February 17, 2026

Registered at 1130 NE 2ND AVE, MIAMI, FL 331321704

πŸ‘€
Provider Name / Credentials (Initial Record) February 17, 2026

Recorded as ADELINE SUTTON, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2026

Physician Assistant

🟒
Initial NPI Registration & Enumeration February 17, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831042076
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2026
Last Update: April 07, 2026
Sole Proprietor: No

Other Physician Assistants in Jacksonville

All Physician Assistants in Jacksonville

Mailing Address

900 Village Square Xing Ste 290

Palm Beach Gardens, FL 334104552

Phone: 2393132517

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.