MRS. JULIANN SUTTERFIELD (MPAS, PA-C) – Medical Physician Assistant, NPI 1578572905
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. JULIANN SUTTERFIELD (MPAS, PA-C)
96TH MEDICAL GROUP
307 BOATNER RD
EGLIN, FL 32542
Phone: (850) 883-8600
Type: Location
307 BOATNER RD STE 114
EGLIN AFB, FL 325421302
Phone:
Type: Mailing
4701, Columbus Street, Virginia Beach Town Center, Pocahontas Village, Virginia Beach, Virginia, 23462, United States
STE 100
VIRGINIA BEACH, VA 234626725
Phone: (414) 736-1317
Fax: (757) 965-6843
Type: Mailing
Secep Administrative Offices, 6160, Kempsville Circle, Glen Rock, Janaf, Norfolk, Virginia, 23502, United States
SMITHFIELD BLDG. SUITE 102A
NORFOLK, VA 235022910
Phone: (757) 461-8300
Fax: (757) 461-8967
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2023-06-07 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($23).
Total Amount
$64
General + Research + Ownership
Payments
3
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ferring Pharmaceuticals Inc. | $23 |
| Fidia Pharma USA Inc. | $21 |
| Avanos Medical | $20 |
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: 2009-03-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090302000470 | I | Physician Assistant | VA | TBD |
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.
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 32542)
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