MARY JOSEPHINE SUTHERLAND (P.A.-C) – Medical Physician Assistant, NPI 1912927237

MARY JOSEPHINE SUTHERLAND (P.A.-C) is a healthcare provider. based in Fleming island, Florida. specializing in Medical Physician Assistant. They hold the professional credentials P.A.-C. They hold a License No. PA2225 (FL). The NPI Number for MARY JOSEPHINE SUTHERLAND (P.A.-C) is 1912927237

Main info

Female
49 Years Of Experience
Accepts Medicare Assignment
Name
MARY JOSEPHINE SUTHERLAND (P.A.-C)
NPI
1912927237
Phone
(904) 621-0247
Address
3189 US HIGHWAY 17
Enumeration Date
20 July 2006
Last Update Date
21 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1977 (49 years ago)
PAC ID
4587709670
Group Practice PAC ID
1254238579
Professional Enrollment ID
I20100301000268
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MARY JOSEPHINE SUTHERLAND (P.A.-C)

  • 3189 US HIGHWAY 17

    FLEMING ISLAND, FL 320037109

    Phone: (904) 621-0247

    Fax: (904) 339-9945

    Type: Location

  • 3189 HIGHWAY 17

    GREEN COVE SPRINGS, FL 320439371

    Phone: (904) 621-0247

    Fax: (904) 339-9945

    Type: Mailing

  • 7855, Argyle Forest Boulevard, Jacksonville, Duval County, Florida, 32244, United States

    STE. 101

    JACKSONVILLE, FL 322445597

    Phone: (904) 282-6331

    Fax: (904) 282-4117

    Type: Mailing

  • Springfield Lake Road Park, 419, Springfield Lake, Middle Sackville, Halifax Regional Municipality, Halifax County, Nova Scotia, B4E 3K2, Canada

    MIDDLEBURG, FL 320685708

    Phone: (904) 282-5474

    Fax: (904) 282-5824

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $96.

Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.

Last reported payment date: 2023-09-07 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($40).

Total Amount

$96

General + Research + Ownership

Payments

5

Total payment records

General Amount

$96

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-07

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: 2010-03-01

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
I20100301000268IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3931$0
99213Established patient office or other outpatient visit, 20-29 minutes2820$0
G0444Annual depression screening, 5 to 15 minutes1313$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
View full utilization report →

Insurance plans in this area (ZIP 32003)

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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: 1254238579View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MARY JOSEPHINE SUTHERLAND (P.A.-C)'s NPI?
Yes. MARY JOSEPHINE SUTHERLAND (P.A.-C) is listed with NPI 1912927237 in the public NPI dataset.
Can I rely on MARY JOSEPHINE SUTHERLAND (P.A.-C) being an active provider?
As of the registry snapshot, MARY JOSEPHINE SUTHERLAND (P.A.-C) is marked active.
What is MARY JOSEPHINE SUTHERLAND (P.A.-C)'s primary classification?
Medical Physician Assistant is the headline specialty for MARY JOSEPHINE SUTHERLAND (P.A.-C) here. Clinical services aligned with this taxonomy classification.
Where is MARY JOSEPHINE SUTHERLAND (P.A.-C) based?
MARY JOSEPHINE SUTHERLAND (P.A.-C) is tied to Fleming Island, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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