JOAN MARIE SULLIVAN PAC
NPI 1043393150
Physician Assistant in Grand Rapids, MI
About Joan Marie Sullivan Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOAN MARIE SULLIVAN PAC (NPI 1043393150) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601003370) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Joan Marie Sullivan Pac 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49506
GRAND RAPIDS, MI 49506
GRAND RAPIDS, MI 49506
GRAND RAPIDS, MI 49506
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 Joan Sullivan's NPI number?
The NPI number for Joan Sullivan is 1043393150. It was assigned to this individual provider in the NPPES registry on October 23, 2006.
Where is Joan Sullivan located?
Joan Sullivan practices at 1900 Wealthy St SE Ste 300, Grand Rapids, MI 49506. The listed phone number is (616) 774-8345.
What is Joan Sullivan's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Joan Sullivan enrolled in Medicare?
Yes. Joan 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.
What insurance does Joan Sullivan accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Joan 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 Joan Sullivan affiliated with any hospitals?
According to CMS data, Joan Sullivan is affiliated with Spectrum Health.
When was this NPI record last updated?
The NPPES record for Joan Sullivan was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Joan Marie Sullivan, PAC · NPI 1043393150
Physician Assistant physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1043393150 (Entity type: Individual)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 5601003370 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 WEALTHY ST SE STE 300, Grand Rapids, MI 49506-2969
- **Phone:** (616) 774-8345
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** January 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043393150) · Data from the CMS NPPES public registry.