MS. JENNIFER ROSE SUTTON (PA-C) – Medical Physician Assistant, NPI 1154515005

MS. JENNIFER ROSE SUTTON (PA-C) is a healthcare provider. based in Oakland, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA19563 (CA). The NPI Number for MS. JENNIFER ROSE SUTTON (PA-C) is 1154515005

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER ROSE SUTTON (PA-C)
NPI
1154515005
Phone
(510) 638-7804
Address
4400 TURNER AVENUE
Enumeration Date
4 September 2007
Last Update Date
4 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4158196575
Graduation Year
2007 (19 years ago)
PAC ID
8628500493
Group Practice PAC ID
7618166091
Professional Enrollment ID
I20241017002559
Address ID
CA941021410SA490XXSTXX309
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Loading map...

Provider Addresses for MS. JENNIFER ROSE SUTTON (PA-C)

  • 4400, Turner Avenue, Oakland, Alameda County, California, 2952, United States

    OAKLAND, CA 946055106

    Phone: (510) 638-7804

    Type: Mailing

  • 2900, Whipple Avenue, Redwood City, San Mateo County, California, 94070, United States

    SUITE 210

    REDWOOD CITY, CA 940622843

    Phone: (650) 366-4542

    Fax: (650) 366-4542

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($47).

Total Amount

$108

General + Research + Ownership

Payments

5

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241017002559IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94605)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618166091View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementCA
A N E S T H E S I O L O G YCA
Physician AssistantOK
-CA
Nurse PractitionerGA
Sports Medicine, Physical Medicine And RehabilitationCA
Nurse PractitionerCA
A N E S T H E S I O L O G YCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for MS. JENNIFER ROSE SUTTON (PA-C)?
MS. JENNIFER ROSE SUTTON (PA-C) — NPI 1154515005 — is the standard way to identify this listing.
Does CMS list MS. JENNIFER ROSE SUTTON (PA-C) as active?
Yes — MS. JENNIFER ROSE SUTTON (PA-C) is active in the NPI listing used on this page.
What healthcare role does MS. JENNIFER ROSE SUTTON (PA-C) hold?
Scheduling teams often label MS. JENNIFER ROSE SUTTON (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MS. JENNIFER ROSE SUTTON (PA-C) serve?
MS. JENNIFER ROSE SUTTON (PA-C)'s listing highlights Oakland, California; more addresses can appear in NPPES.
Why does MS. JENNIFER ROSE SUTTON (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

FELICIA ANNASTACIA CORBETT (PA-C)

Medical Physician Assistant
University of California, Davis Medical Center, 2315, Stockton Boulevard, Sacramento, Sacramento County, California, 95817, United States
NPI: 1184695066

MRS. NANCY VEERHUSEN (PA)

Medical Physician Assistant
10700, MacArthur Boulevard, Oakland, Alameda County, California, 94605, United States
NPI: 1730131715

MS. ANA ROSA CHANG (PA-C)

Medical Physician Assistant
2950, International Boulevard, Fruitvale, Oakland, Alameda County, California, 94601, United States
NPI: 1548292675

CYRIL BRUCE CALLISTER (PA-C)

Medical Physician Assistant
South Pavilion & MOB, 350, 30th Street, Pill Hill, Oakland, Alameda County, California, 94609, United States
NPI: 1871518977

MRS. MARTHA JANE LYNCH (PA-C)

Medical Physician Assistant
1144 65TH ST STE F
NPI: 1093727133
20 YORK ST
NPI: 1184637654

SUSANA JUDITH PRAVER (PAC)

Medical Physician Assistant
1601, Fruitvale Avenue, Fruitvale, Oakland, Alameda County, California, 94601, United States
NPI: 1255434452

VILA PHOULAVAN (PA-C)

Physician Assistant
15035, East 14th Street, San Leandro, Alameda County, California, 94578, United States
NPI: 1184705212

HOLLY SHEA (PA)

Physician Assistant
509, Webster Street, Jack London Square, Oakland, Alameda County, California, 94607, United States
NPI: 1497838825