JENNIFER MAE SULLIVAN WHNP
NPI 1053584789
Nurse Practitioner - Women's Health in Fridley, MN

Q: What is Jennifer Sullivan's NPI number?

The NPI number for Jennifer Sullivan is 1053584789. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Q: What is Jennifer Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Sullivan was last updated on November 10, 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.

Active since April 02, 2008PECOS EnrolledAccepts Medicare Assignment

83.53/100

CMS Quality Rating

500 OSBORNE RD NE, SUITE 200, FRIDLEY, MN 55432(763) 786-6011 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2020, Feb 18, 2016 (2 updates tracked since 2016).

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About Jennifer Mae Sullivan Whnp NPPES

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

JENNIFER MAE SULLIVAN WHNP (NPI 1053584789) is an individual women's health provider in Fridley, Minnesota, licensed in Minnesota (R1564338) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1053584789

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameJENNIFER MAE SULLIVANCredential: WHNP

Location Address500 OSBORNE RD NE, SUITE 200Fridley, MN 55432-2774

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000

Phone(763) 786-6011

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateApril 2, 2008

Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration

NPPES CertifiedNovember 10, 2020

✔ NPI 1053584789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in MN · R1564338

500 OSBORNE RD NE, Fridley, MN 55432

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Jennifer Mae Sullivan Whnp 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 ID941375034

PECOS Enrollment IDI20080825000561

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.

Hospital Affiliations CMS Care Compare

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

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240115

Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

83.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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.

MR. THOMAS J DIEM D.D.S., M.D.

Specialist

500 OSBORNE RD NE, UNITY PROFESSIONAL BLDG SUITE 350
FRIDLEY, MN 55432

Anoka County (763) 780-8927

LISA R MATTSON M.D.

Obstetrics & Gynecology

500 OSBORNE RD NE, SUITE 255
FRIDLEY, MN 55432

Anoka County (763) 236-2500

JILL MARRONE MS, RD, LD

Dietitian, Registered

500 OSBORNE RD NE, SUITE 200
FRIDLEY, MN 55432

Anoka County (763) 236-2045

ANGELA BENNETT

Pediatrics

500 OSBORNE RD NE, SUITE 215
FRIDLEY, MN 55432

Anoka County (763) 236-2707

MARY ZYGMUNT DO

Obstetrics & Gynecology (Gynecology)

500 OSBORNE RD NE
FRIDLEY, MN 55432

Anoka County (763) 786-6011

HOO YIN WONG M.D.

Urology

500 OSBORNE RD NE, SUITE 120
FRIDLEY, MN 55432

Anoka County (763) 783-8582

REBECCA LYNN SCHECK RD

Dietitian, Registered

500 OSBORNE RD NE, SUITE 200
FRIDLEY, MN 55432

Anoka County (763) 236-2028

JAGDEEP KOHLI MD

Psychiatry & Neurology (Neurology)

500 OSBORNE RD NE, STE 365
FRIDLEY, MN 55432

Anoka County (612) 879-1000

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 Jennifer Sullivan's NPI number?

The NPI number for Jennifer Sullivan is 1053584789. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Where is Jennifer Sullivan located?

Jennifer Sullivan practices at 500 Osborne Rd NE Suite 200, Fridley, MN 55432. The listed phone number is (763) 786-6011.

What is Jennifer Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Jennifer Sullivan enrolled in Medicare?

Yes. Jennifer 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 Jennifer Sullivan accept?

Health plans from HealthPartners and Medica list Jennifer 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 Jennifer Sullivan affiliated with any hospitals?

According to CMS data, Jennifer Sullivan is affiliated with Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Sullivan was last updated on November 10, 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.