REBECCA JEANNE SULLIVAN CPNP
NPI 1043654577
Nurse Practitioner - Primary Care in Fort Worth, TX
About Rebecca Jeanne Sullivan Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA JEANNE SULLIVAN CPNP (NPI 1043654577) is an individual primary care provider in Fort Worth, Texas, licensed in Texas (AP123430) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rebecca Jeanne Sullivan Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Rebecca Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 985 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Rebecca Sullivan's NPI number?
The NPI number for Rebecca Sullivan is 1043654577. It was assigned to this individual provider in the NPPES registry on April 26, 2013. The provider is also known as Rebecca Jeanne Sherrill.
Where is Rebecca Sullivan located?
Rebecca Sullivan practices at 1401 W Pulaski St, Fort Worth, TX 76104. The listed phone number is (682) 885-8012.
What is Rebecca Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Rebecca Sullivan enrolled in Medicare?
Yes. Rebecca Sullivan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Rebecca Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Sullivan reassigns Medicare benefits to 2 organizations: Cook Children's Physician Network (Fort Worth, TX) and Acclaim Physician Group, Inc (Fort Worth, TX). 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 Rebecca Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rebecca Sullivan accept?
Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Rebecca 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.
When was this NPI record last updated?
The NPPES record for Rebecca Sullivan was last updated on April 13, 2021. 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.
# Rebecca Jeanne Sullivan, CPNP · NPI 1043654577
Primary Care physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since April 26, 2013.
## Identity
- **NPI:** 1043654577 (Entity type: Individual)
- **Enumerated:** April 26, 2013
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** AP123430 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1401 W PULASKI ST, Fort Worth, TX 76104-2717
- **Phone:** (682) 885-8012 · **Fax:** (682) 885-8014
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cook Children's Physician Network (NPI 1083472062, Fort Worth, TX); Acclaim Physician Group, Inc (NPI 1780076562, Fort Worth, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043654577) · Data from the CMS NPPES public registry.