Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Suzanne Sagues Wolf , PA

Physician Assistant β€’ Jacksonville, FL

Active NPI 1376877068 Individual Practitioner Female Practitioner
Practice location in NPPES

1325 San Marco Blvd Ste 200, Credentialing Department
Jacksonville, FL 322078566

Call 9043463465 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

1325 San Marco Blvd Ste 200
Credentialing Department

Jacksonville, FL 322078566

Telephone 9043463465
Fax 9043960388
Organization at the Same NPPES Address or Phone
Jacksonville Orthopaedic Institute Inc Facility NPI 1346298023

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

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

2009

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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9107107

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
008374800 (FL)
Other Identifier Railroad Medicare
P01179691 (FL)

Clinicians Sharing This Practice Address or Phone

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

23 listed
Ryan Amason , PA-C

Physician Assistant

NPI 1659681666

Physician Assistant (Certified)

Dr. Steven Crenshaw , MD

Orthopaedic Surgery - Sports Medicine

NPI 1447252655

Doctor of Medicine (M.D.)

Dr. David Doward , MD

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1710097282

Doctor of Medicine (M.D.)

Dr. Gabriel Echegaray , MD

Orthopaedic Surgery - Hand Surgery

NPI 1821519372

Doctor of Medicine (M.D.)

Dr. Carl Freeman , MD

Orthopaedic Surgery

NPI 1326206921

Doctor of Medicine (M.D.)

Nickolas Godley , PA-C

Physician Assistant

NPI 1033782248

Physician Assistant (Certified)

Career & Practice History

NPI enumerated September 28, 2009.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1376877068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2009
Last Update: February 29, 2016
Sole Proprietor: No

Other Physician Assistants in Jacksonville

All Physician Assistants in Jacksonville

Mailing Address

1325 San Marco Blvd, Suite 200

Jacksonville, FL 322078568

Phone: 9043463465

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.