ERICKA SULLIVAN APRN
NPI 1063999126
Nurse Practitioner - Family in Cincinnati, OH

Active since July 22, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4613 MARBURG AVE, CINCINNATI, OH 45209(513) 782-5060 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2018, Jul 22, 2018 (2 updates tracked since 2018).

About Ericka Sullivan Aprn NPPES

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

ERICKA SULLIVAN APRN (NPI 1063999126) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.023229) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063999126
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICKA SULLIVANCredential: APRN
Location Address4613 MARBURG AVECincinnati, OH 45209-5005
Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 22, 2018
Last NPPES UpdateSeptember 18, 20182 updates tracked since enumeration
NPI 1063999126 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 OH · APRN.CNP.023229
4613 MARBURG AVE, Cincinnati, OH 45209

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

Ericka Sullivan Aprn 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 ID2062764913
PECOS Enrollment IDI20181004001482
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 10

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
199 services73 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
143 services65 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
84 services35 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
71 services42 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
37 services14 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45209 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
4613 MARBURG AVE
CINCINNATI, OH 45209
Nurse Practitioner (Family)
4613 MARBURG AVE
CINCINNATI, OH 45209
Nurse Practitioner (Family)
4613 MARBURG AVE
CINCINNATI, OH 45209
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4613 MARBURG AVE
CINCINNATI, OH 45209
Nurse Practitioner (Family)
4613 MARBURG AVE
CINCINNATI, OH 45209
Nurse Practitioner (Family)
4613 MARBURG AVE
CINCINNATI, OH 45209
Nurse Practitioner (Family)
4613 MARBURG AVE
CINCINNATI, OH 45209
Pharmacy (Community/Retail Pharmacy)
4613 MARBURG AVE
CINCINNATI, OH 45209

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 Ericka Sullivan's NPI number?

The NPI number for Ericka Sullivan is 1063999126. It was assigned to this individual provider in the NPPES registry on July 22, 2018.

Where is Ericka Sullivan located?

Ericka Sullivan practices at 4613 Marburg Ave, Cincinnati, OH 45209. The listed phone number is (513) 782-5060.

What is Ericka Sullivan's specialty?

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

Is Ericka Sullivan enrolled in Medicare?

Yes. Ericka 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 Ericka Sullivan accept?

Health plans from CareSource and MedMutual list Ericka 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 Ericka Sullivan was last updated on September 18, 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.