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

Q: What is Deborah Sullivan's NPI number?

The NPI number for Deborah Sullivan is 1093950420. It was assigned to this individual provider in the NPPES registry on December 15, 2008.

Q: What is Deborah Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Deborah Sullivan was last updated on March 26, 2019. 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 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: August 16, 2026.

On this page

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.

Other Providers at the Same Location NPPES 12

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

IDAHO SLEEP AND NEUROLOGY PLLC

Specialist

211 E LOGAN ST, SUITE 105
CALDWELL, ID 83605

Canyon County (208) 454-0567

MR. SEAN R WEATHERSTON P.T.

Physical Therapist

211 E LOGAN ST, SUITE 101
CALDWELL, ID 83605

Canyon County (208) 454-9839

WADE HARRIS MD

Psychiatry & Neurology (Neurology)

211 E LOGAN ST, STE 201
CALDWELL, ID 83605

Canyon County (208) 454-0567

TRAVIS WILLIAM PALMER P.T.

Physical Therapist

211 E LOGAN ST, SUITE 101
CALDWELL, ID 83605

Canyon County (208) 454-9839

MR. BRIAN RICHARD TRUDEAU P.T.

Physical Therapist

211 E LOGAN ST, SUITE 101
CALDWELL, ID 83605

Canyon County (208) 454-9839

CAROLYN REES M.D.

Internal Medicine

211 E LOGAN ST, SUITE 303
CALDWELL, ID 83605

Canyon County (208) 459-4667

LATASHA N TYLER LMSW

Social Worker

211 E LOGAN ST
CALDWELL, ID 83605

Canyon County (208) 454-1480

CALDWELL INTERNAL MEDICINE PROFESSIONAL ASSOCIATION

Internal Medicine

211 E LOGAN ST, SUITE 201
CALDWELL, ID 83605

Canyon County (208) 459-4667

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 Deborah Sullivan's NPI number?

The NPI number for Deborah Sullivan is 1093950420. It was assigned to this individual provider in the NPPES registry on December 15, 2008.

Where is Deborah Sullivan located?

Deborah Sullivan practices at 211 E Logan St Suite 105, Caldwell, ID 83605. The listed phone number is (208) 454-0567.

What is Deborah Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Deborah Sullivan enrolled in Medicare?

Yes. Deborah Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deborah Sullivan was last updated on March 26, 2019. 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.