NPIMap

Individual provider Active NPI

Jesna Susan Mathew Sublett, MBBS

  • Neurological Surgery Physician
  • Deland, FL
National Provider Identifier
1639460827
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME149323 Issued in FL
Practice address
1431 Orange Camp Rd Ste 115
Deland, FL 32724-7770
Phone
(386) 222-2792
NPI assigned
Apr 22, 2011
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD492142 PA
Neurological Surgery Physician 207T00000X ME149323 FL Primary

Addresses

Primary practice location

1431 Orange Camp Rd Ste 115
Deland, FL 32724-7770

Mailing address

1431 Orange Camp Rd Ste 115
Deland, FL 32724-7770
Phone (386) 222-2792

Other practice location 1

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 703-8888

Other names 1

  • Dr. Jesna Susan Mathew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, NE3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210524000422 FL Practitioner - Neurosurgery 6709181274 Reassigns benefits to 2 organizations
I20251105001597 PA Practitioner - Neurology 6709181274 Reassigns benefits to 1 organization
I20260429002838 NE Practitioner - Neurosurgery 6709181274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

1431 Orange Camp Rd
Suite 115
Deland, FL 32724-7770
Phone (386) 222-2792

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 969-7355

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD492142PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince May 5, 2025 Accepting new patients
Geisinger Clinic Current Accepting new patients
Holy Cross Hospital Inc CurrentSince May 5, 2025 Accepting new patients
Geisinger Clinic CurrentSince Oct 20, 2025 Accepting new patients
Geisinger Clinic CurrentSince Oct 20, 2025 Accepting new patients
Jesnasublett, PLLC Neurological Surgery CurrentSince Feb 24, 2025 Accepting new patients

Locations

1431 Orange Camp Rd
Ste 115
Deland, FL 32724
Phone (386) 202-1401

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

100 N Academy Ave
Danville, PA 17822

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jsublett4248439@direct.trinity-health.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1639460827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 ORANGE CAMP RD STE 115",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247770",
            "telephone_number": "386-222-2792",
            "fax_number": "386-478-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 ORANGE CAMP RD STE 115",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247770",
            "telephone_number": "386-222-2792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185102369",
            "country_code": "US",
            "telephone_number": "570-703-8888",
            "fax_number": "570-703-8512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBLETT",
        "first_name": "JESNA",
        "middle_name": "SUSAN MATHEW",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD492142",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME149323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESNA",
            "last_name": "MATHEW",
            "middle_name": "SUSAN",
            "prefix": "DR.",
            "credential": "MBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.