MRS. DEBORAH LEE SULLIVAN ARNP
NPI 1093950420
Nurse Practitioner - Primary Care in Caldwell, ID
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
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 (PECOS)
Mrs. Deborah Lee Sullivan Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Deborah Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Long Beach, CA 90802
- Reassigned Medicare billing, Idaho and Texas enrollments
- 71 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.
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.
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.
CALDWELL, ID 83605
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.
Which organization bills Medicare for Deborah Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Sullivan reassigns Medicare benefits to Molina Care Connections, LLC. (Long Beach, CA). The 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 Deborah Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Deborah Sullivan accept?
Health plans from Select Health list Deborah 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 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.
# Mrs. Deborah Lee Sullivan, ARNP · NPI 1093950420
Primary Care physician in Caldwell, Idaho. Individual provider, active in the CMS NPPES registry since December 15, 2008.
## Identity
- **NPI:** 1093950420 (Entity type: Individual)
- **Enumerated:** December 15, 2008
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** NP891 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 211 E LOGAN ST, SUITE 105, Caldwell, ID 83605-4882
- **Phone:** (208) 454-0567 · **Fax:** (208) 402-6635
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1093950420) · Data from the CMS NPPES public registry.