KELLY SULLIVAN CRNP
NPI 1114392735
Nurse Practitioner - Family in Warren, PA

Q: What is Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1114392735. It was assigned to this individual provider in the NPPES registry on December 8, 2015.

Q: What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on October 3, 2018. 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 08, 2015PECOS Enrolled

2 W CRESCENT PARK, WARREN, PA 16365(814) 723-3300(814) 726-9412 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 3, 2018, Sep 28, 2018, Feb 9, 2016 and 1 more (4 updates tracked since 2015).

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About Kelly Sullivan Crnp NPPES

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

KELLY SULLIVAN CRNP (NPI 1114392735) is an individual family provider in Warren, Pennsylvania, licensed in Pennsylvania (SP015625) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114392735

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY SULLIVANCredential: CRNP

Location Address2 W CRESCENT PARKWarren, PA 16365-2111

Mailing Address2 W Crescent ParkWarren, PA 16365-2111 · (814) 723-3300 · Fax (814) 726-9412

Phone(814) 723-3300

Fax(814) 726-9412

Sole ProprietorYes

Enumeration DateDecember 8, 2015

Last NPPES UpdateOctober 3, 20184 updates tracked since enumeration

✔ NPI 1114392735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP015625

Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License SP015625 (PA)

2 W CRESCENT PARK, Warren, PA 16365

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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)

Kelly Sullivan Crnp 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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

276 services46 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services15 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16365 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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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.

JAMIE CUMMINGS PHARMD

Pharmacist