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ANNE MARIE SULLIVAN PA-C
NPI 1023624194
Physician Assistant - Medical in Philadelphia, PA

Active since September 23, 2020PECOS Enrolled
1528 WALNUT ST STE 950, PHILADELPHIA, PA 19102(267) 273-1196(267) 273-1193 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2020, Sep 23, 2020 (2 updates tracked since 2020).

About Anne Marie Sullivan Pa-c NPPES

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

ANNE MARIE SULLIVAN PA-C (NPI 1023624194) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA061897) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023624194
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANNE MARIE SULLIVANCredential: PA-C
Location Address1528 WALNUT ST STE 950Philadelphia, PA 19102-3628
Mailing Address1500 Locust St Apt 3406Philadelphia, PA 19102-4323 · (717) 404-9328
Phone(267) 273-1196
Fax(267) 273-1193
Sole ProprietorNo
Enumeration DateSeptember 23, 2020
Last NPPES UpdateOctober 12, 20202 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1023624194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA061897
1528 WALNUT ST STE 950, Philadelphia, PA 19102
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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 (PECOS)

Anne Marie Sullivan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 15

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

EMILY BETH FRIEDMAN MD
Internal Medicine
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Philadelphia County (267) 273-1196
MR. MICHAEL JOSEPH QUINN JR. PA-C
Physician Assistant
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Philadelphia County (267) 273-1196
STOLL MEDICAL GROUP LLC
Specialist
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Philadelphia County (267) 273-1196
JOEL MATTHEW GOLDSHORE
Family Medicine
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Philadelphia County (267) 273-1196
SOTHIA RENEE SY
Nurse Practitioner (Family)
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Philadelphia County (267) 273-1196
NAEHA GUPTA DO
Dermatology
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Philadelphia County (267) 273-1196
DR. ALEXANDER MAX CARTRON MD
Dermatology
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Philadelphia County (267) 273-1196
MADELINE BAXTER PA
Physician Assistant
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Philadelphia County (267) 273-1196

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 Anne Marie Sullivan's NPI number?

The NPI number for Anne Marie Sullivan is 1023624194. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Anne Marie Sullivan located?

Anne Marie Sullivan practices at 1528 Walnut St Ste 950, Philadelphia, PA 19102. The listed phone number is (267) 273-1196.

What is Anne Marie Sullivan's specialty?

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

Is Anne Marie Sullivan enrolled in Medicare?

Yes. Anne Marie Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anne Marie Sullivan was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.