JULIE MARIE SULLIVAN PMHNP
NPI 1093468050
Nurse Practitioner - Psychiatric/Mental Health in Eden, NY
About Julie Marie Sullivan Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIE MARIE SULLIVAN PMHNP (NPI 1093468050) is an individual psychiatric/mental health provider in Eden, New York, licensed in New York (F403933-01) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Julie Marie Sullivan Pmhnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Julie Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gloversville, NY 12078
- Reassigned Medicare billing, New York enrollment
- 28 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Brightside Medical PC
- 42 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Julie Sullivan's NPI number?
The NPI number for Julie Sullivan is 1093468050. It was assigned to this individual provider in the NPPES registry on January 31, 2022.
Where is Julie Sullivan located?
Julie Sullivan practices at 8949 Hammond Dr, Eden, NY 14057. The listed phone number is (716) 310-4403.
What is Julie Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Julie Sullivan enrolled in Medicare?
Yes. Julie 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.
Which organizations bill Medicare for Julie Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Julie Sullivan reassigns Medicare benefits to 2 organizations: The Family Counseling Center Of Fulton County Inc (Gloversville, NY) and Brightside Medical, P.C. (San Francisco, CA). 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 Julie Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Julie Sullivan accept?
Health plans from Anthem Blue Cross and Blue Shield list Julie 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 Julie Sullivan was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Julie Marie Sullivan, PMHNP · NPI 1093468050
Psychiatric/Mental Health physician in Eden, New York. Individual provider, active in the CMS NPPES registry since January 31, 2022.
## Identity
- **NPI:** 1093468050 (Entity type: Individual)
- **Enumerated:** January 31, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** F403933-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 8949 HAMMOND DR, Eden, NY 14057-9561
- **Phone:** (716) 310-4403
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): The Family Counseling Center Of Fulton County Inc (NPI 1164473831, Gloversville, NY); Brightside Medical, P.C. (NPI 1508325184, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093468050) · Data from the CMS NPPES public registry.