Individual provider Active NPI

Jaclyn Sarah Sutton, AGACNP, DNP

  • Nurse Practitioner
  • Weaverville, NC
National Provider Identifier
1871108738
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5024363 Issued in NC
Practice address
179 N Buncombe School Rd Ste 102
Weaverville, NC 28787-9699
Phone
(828) 645-3100
Fax
(828) 658-3254
NPI assigned
Sep 8, 2020
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11008989 FL
Nurse Practitioner 363L00000X 5024363 NC Primary
Nurse Practitioner 363L00000X 11008989 FL
Acute Care Nurse Practitioner 363LA2100X 11008989 FL

Addresses

Primary practice location

179 N Buncombe School Rd Ste 102
Weaverville, NC 28787-9699

Mailing address

PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 645-3100

Other practice location 1

50 Hospital Dr Ste 4B
Hendersonville, NC 28792-5246
Phone (828) 681-2917

Other practice location 2

9970 Central Park Blvd N
Boca Raton, FL 33428-2231
Phone (561) 482-6611

Other practice location 3

600 Hospital Dr Ste 10B
Clyde, NC 28721-8024
Phone (828) 456-5214

Other practice location 4

20 Medical Park Dr Ste B
Asheville, NC 28803-2493
Phone (828) 254-8232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123000244 FL Practitioner - Nurse Practitioner 7719398841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

9970 Central Park Blvd N
Suite 304
Boca Raton, FL 33428-2237
Phone (561) 482-6611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11008989FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Current Accepting new patients
Gus Armenakis MD PA Internal Medicine CurrentSince Nov 10, 2020 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Oct 31, 2022 Accepting new patients
Gensiscare USA of Florida LLC CurrentSince Oct 31, 2022 Accepting new patients

Locations

9970 Central Park Blvd N
Ste 304
Boca Raton, FL 33428
Phone (561) 482-6611

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

7421 N University Dr
Ste 306
Tamarac, FL 33321
Phone (954) 721-4300

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1871108738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-645-3100",
            "fax_number": "828-658-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 N BUNCOMBE SCHOOL RD STE 102",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879699",
            "telephone_number": "828-645-3100",
            "fax_number": "828-658-3254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Hospital Dr Ste 4B",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287925246",
            "country_code": "US",
            "telephone_number": "828-681-2917",
            "fax_number": "828-681-2852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9970 Central Park Blvd N",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334282231",
            "country_code": "US",
            "telephone_number": "561-482-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Hospital Dr Ste 10B",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "NC",
            "postal_code": "287218024",
            "country_code": "US",
            "telephone_number": "828-456-5214",
            "fax_number": "828-456-7834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Medical Park Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032493",
            "country_code": "US",
            "telephone_number": "828-254-8232",
            "fax_number": "828-253-4470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JACLYN",
        "middle_name": "SARAH",
        "credential": "AGACNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "11008989",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024363",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11008989",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11008989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

Verify at the official NPI Registry.