MS. IRENE ANNE SULLIVAN ANP
NPI 1083942908
Nurse Practitioner in Roslyn, NY
About Ms. Irene Anne Sullivan Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. IRENE ANNE SULLIVAN ANP (NPI 1083942908) is an individual nurse practitioner in Roslyn, New York, licensed in New York (302076) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Irene Anne Sullivan Anp 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Hospital Medical Center
Acute Care Hospitals · West Islip, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11576 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.
ROSLYN, NY 11576
ROSLYN, NY 11576
ROSLYN, NY 11576
ROSLYN, NY 11576
ROSLYN, NY 11576
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 Irene Sullivan's NPI number?
The NPI number for Irene Sullivan is 1083942908. It was assigned to this individual provider in the NPPES registry on December 4, 2009.
Where is Irene Sullivan located?
Irene Sullivan practices at 100 Port Washington Blvd, Roslyn, NY 11576. The listed phone number is (516) 562-6000.
What is Irene Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Irene Sullivan enrolled in Medicare?
Yes. Irene 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.
Is Irene Sullivan affiliated with any hospitals?
According to CMS data, Irene Sullivan is affiliated with Good Samaritan Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Irene Sullivan was last updated on December 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Ms. Irene Anne Sullivan, ANP · NPI 1083942908
Nurse Practitioner physician in Roslyn, New York. Individual provider, active in the CMS NPPES registry since December 4, 2009.
## Identity
- **NPI:** 1083942908 (Entity type: Individual)
- **Enumerated:** December 4, 2009
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 302076 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 PORT WASHINGTON BLVD, Roslyn, NY 11576-1353
- **Phone:** (516) 562-6000
## 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 1997
## Record status
- **NPPES last updated:** December 4, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1083942908) · Data from the CMS NPPES public registry.