CRYSTAL JEAN SULLIVAN FNP
NPI 1033752530
Nurse Practitioner - Family in Dickinson, ND

Active since October 28, 2019PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
682 18TH AVE E STE A, DICKINSON, ND 58601(701) 829-3396(701) 999-9045 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2026, Jun 26, 2025, Oct 28, 2019 (3 updates tracked since 2019).

About Crystal Jean Sullivan Fnp NPPES

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

CRYSTAL JEAN SULLIVAN FNP (NPI 1033752530) is an individual family provider in Dickinson, North Dakota, licensed in North Dakota (R48527) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Glendive Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033752530
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL JEAN SULLIVANCredential: FNP
Location Address682 18TH AVE E STE ADickinson, ND 58601-6320
Mailing Address682 18th Ave E # SuitenaDickinson, ND 58601-6320 · (701) 829-3396 · Fax (701) 999-9045
Fax(701) 999-9045
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 28, 2019
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1033752530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in ND · R48527✔ Licensed in CO · APN.0995068-NP
682 18TH AVE E STE A, Dickinson, ND 58601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Crystal Jean Sullivan Fnp 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 ID7214363993
PECOS Enrollment IDI20200129001827
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Crystal Sullivan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
45 8TH ST W
Dickinson, ND 58601
  • Reassigned Medicare billing, North Dakota enrollment
  • 401 clinicians in this Medicare group
Chiropractor
193 24TH ST E STE 104
Dickinson, ND 58601
  • Reassigned Medicare billing, North Dakota enrollment
  • 5 clinicians in this Medicare group
Critical Access Hospital
202 PROSPECT DR
Glendive, MT 59330
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1073523635 (Montana)
  • 38 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1301 15TH AVE W
Williston, ND 58801
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1902824576 (North Dakota)
  • 268 clinicians in this Medicare group
Critical Access
1200 N 7TH ST
Oakes, ND 58474
  • Reassigned Medicare billing, North Dakota enrollment
  • 33 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Glendive Medical Center

Critical Access Hospitals · Glendive, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271332
Location202 Prospect DrGlendive, MT 59330 · Dawson County
Emergency services

Chi St Alexius Health Dickinson

Critical Access Hospitals · Dickinson, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351336
Location2500 Fairway StreetDickinson, ND 58601 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
682 18TH AVE E STE A
DICKINSON, ND 58601
Nurse Practitioner (Family)
682 18TH AVE E STE A
DICKINSON, ND 58601

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 Crystal Sullivan's NPI number?

The NPI number for Crystal Sullivan is 1033752530. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Crystal Sullivan located?

Crystal Sullivan practices at 682 18th Ave E Ste A, Dickinson, ND 58601. The listed phone number is (701) 829-3396.

What is Crystal Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Crystal Sullivan enrolled in Medicare?

Yes. Crystal 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.

Which organizations bill Medicare for Crystal Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Sullivan reassigns Medicare benefits to 5 organizations: St. Joseph's Hospital And Health Center (Dickinson, ND), Aspire Health Chiropractic, PLLC (Dickinson, ND), Glendive Medical Center, Inc (Glendive, MT), Mercy Medical Center (Williston, ND) and Oakes Community Hospital (Oakes, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystal Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Sullivan accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Sanford Health Plan list Crystal Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Crystal Sullivan affiliated with any hospitals?

According to CMS data, Crystal Sullivan is affiliated with Glendive Medical Center and Chi St Alexius Health Dickinson.

When was this NPI record last updated?

The NPPES record for Crystal Sullivan was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.