SEAN SULLIVAN NP-C
NPI 1063906071
Nurse Practitioner - Family in Ann Arbor, MI

Q: What is Sean Sullivan's NPI number?

The NPI number for Sean Sullivan is 1063906071. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Q: What is Sean Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Sullivan was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 22, 2018PECOS EnrolledAccepts Medicare Assignment

81.26/100

CMS Quality Rating

209 S STATE ST, ANN ARBOR, MI 48104(866) 389-2727 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2018, Jun 22, 2018 (2 updates tracked since 2018).

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About Sean Sullivan Np-c NPPES

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

SEAN SULLIVAN NP-C (NPI 1063906071) is an individual family provider in Ann Arbor, Michigan, licensed in Michigan (4704288091) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063906071

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSEAN SULLIVANCredential: NP-C

Location Address209 S STATE STAnn Arbor, MI 48104

Mailing Address209 S State StAnn Arbor, MI 48104-2005

Phone(866) 389-2727

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJune 22, 2018

Last NPPES UpdateAugust 9, 20182 updates tracked since enumeration

✔ NPI 1063906071 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

License✔ Licensed in MI · 4704288091

209 S STATE ST, Ann Arbor, MI 48104

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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 and accepts Medicare assignment

Sean Sullivan Np-c 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 ID4183973175

PECOS Enrollment IDI20180824000785

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48104 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

81.26/100

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

Scored as part of a group practice

Quality

74.66

Improvement Activities

Cost

83.98

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Other Providers at the Same Location NPPES 6

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

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