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Susan Harcke , PA-C

Physician Assistant β€’ Jacksonville, FL

Active NPI 1013080464 Individual Practitioner Female Practitioner
Practice location in NPPES

964 Ajax Street Branch Health Clinic - Primary Care
Jacksonville, FL 322143752

Call 3023538471 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

964 Ajax Street Branch Health Clinic - Primary Care

Jacksonville, FL 322143752

Telephone 3023538471
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Starke, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

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

Guide: How to read an Open Payments record

NPI first issued

2006

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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

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: 2023-12-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL 9113754

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

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES DE C5-0000655

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

Secondary Practice Locations

5629 State Road 16 W Bldg 2127

Starke, FL 320919791

Phone: 9046824404

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 December 29, 2023

Registered at 964 AJAX STREET BRANCH HEALTH CLINIC - PRIMARY CARE, JACKSONVILLE, FL 322143752 (Tel: 3023538471)

πŸ“
Updated Business Mailing Address December 29, 2023

Registered at 6547 KINGS RD, KEYSTONE HEIGHTS, FL 326569316 (Tel: 5703525036)

βœ…
NPI Profile Active June 29, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 29, 2012

Registered at 103 ARTISAN DR, 31ST CIVIL SUPPORT TEAM (WMD) DEARNG, SMYRNA, DE 199773752 (Tel: 3023538471)

πŸ“
Business Mailing Address (Initial Record) June 29, 2012

Registered at 114 SUMMER DR, SMYRNA, DE 199774104

πŸ‘€
Provider Name / Credentials (Initial Record) June 29, 2012

Recorded as SUSAN HARCKE, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2012

Physician Assistant (license number reported to NPPES: DE C5-0000655)

🟒
Initial NPI Registration & Enumeration November 15, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013080464
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: December 29, 2023
Sole Proprietor: No

Other Physician Assistants in Jacksonville

All Physician Assistants in Jacksonville

Mailing Address

6547 Kings Rd

Keystone Heights, FL 326569316

Phone: 5703525036

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.