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SANDRA JEAN SULLIVAN PA
NPI 1003967407
Physician Assistant - Medical in North Conway, NH

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
1976 WHITE MOUNTAIN HWY STE 105, NORTH CONWAY, NH 03860(603) 356-4940 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 8, 2026, Apr 14, 2021 (2 updates tracked since 2021).

About Sandra Jean Sullivan Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA JEAN SULLIVAN PA (NPI 1003967407) is an individual medical provider in North Conway, New Hampshire, licensed in New Hampshire (3056) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, The, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1003967407
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSANDRA JEAN SULLIVANCredential: PA
Location Address1976 WHITE MOUNTAIN HWY STE 105North Conway, NH 03860-5147
Mailing Address1976 White Mountain Hwy Ste 105North Conway, NH 03860-5147 · (603) 356-4940 · Fax (603) 371-3250
Phone(603) 356-4940
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1003967407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NH · 3056
Also ListedPhysician AssistantTaxonomy 363A00000X · License 3056 (NH)
1976 WHITE MOUNTAIN HWY STE 105, North Conway, NH 03860
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Jean Sullivan Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315004983
PECOS Enrollment IDI20260115001863
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER GEORGE LAMPHERE PA-C
Physician Assistant
1976 WHITE MOUNTAIN HWY STE 105
NORTH CONWAY, NH 03860
Carroll County (603) 356-4940
MAINEHEALTH NEW HAMPSHIRE AMBULATORY CARE
Clinic/Center (Urgent Care)
1976 WHITE MOUNTAIN HWY STE 105
NORTH CONWAY, NH 03860
Carroll County (832) 628-3420
ABIGAIL BLAKE MAYNARD FNP
Nurse Practitioner (Family)
1976 WHITE MOUNTAIN HWY STE 105
NORTH CONWAY, NH 03860
Carroll County (603) 356-4940
MICHAEL O KANE APRN
Nurse Practitioner (Family)
1976 WHITE MOUNTAIN HWY STE 105
NORTH CONWAY, NH 03860
Carroll County (603) 356-4940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Sullivan's NPI number?

The NPI number for Sandra Sullivan is 1003967407. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Sandra Sullivan located?

Sandra Sullivan practices at 1976 White Mountain Hwy Ste 105, North Conway, NH 03860. The listed phone number is (603) 356-4940.

What is Sandra Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sandra Sullivan enrolled in Medicare?

Yes. Sandra Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sandra Sullivan affiliated with any hospitals?

According to CMS data, Sandra Sullivan is affiliated with Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Sandra Sullivan was last updated on January 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.