MRS. DEBORAH LEE SULLIVAN ARNP
NPI 1093950420
Nurse Practitioner - Primary Care in Caldwell, ID

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.

Active since December 15, 2008PECOS Enrolled

211 E LOGAN ST, SUITE 105, CALDWELL, ID 83605(208) 454-0567(208) 402-6635 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Deborah Lee Sullivan Arnp NPPES

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

MRS. DEBORAH LEE SULLIVAN ARNP (NPI 1093950420) is an individual primary care provider in Caldwell, Idaho, licensed in Idaho (NP891) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093950420

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMRS. DEBORAH LEE SULLIVANCredential: ARNP

Location Address211 E LOGAN ST, SUITE 105Caldwell, ID 83605-4882

Mailing Address3706 N Stone Creek WayBoise, ID 83703-4745 · (208) 514-3217

Phone(208) 454-0567

Fax(208) 402-6635

Sole ProprietorNo

Enumeration DateDecember 15, 2008

Last NPPES UpdateMarch 26, 2019

✔ NPI 1093950420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in ID · NP891

211 E LOGAN ST, Caldwell, ID 83605

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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 (PECOS)

Mrs. Deborah Lee Sullivan Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.