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ALISON SULLIVAN RN
NPI 1114646551
Nurse Practitioner - Family in Sacramento, CA

Active since August 26, 2022PECOS EnrolledAccepts Medicare Assignment
2521 STOCKTON BLVD STE 3, SACRAMENTO, CA 95817(916) 734-3112 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 12, 2024, Aug 26, 2022 (2 updates tracked since 2022).

About Alison Sullivan Rn NPPES

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

ALISON SULLIVAN RN (NPI 1114646551) is an individual family provider in Sacramento, California, licensed in California (95025550) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114646551
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISON SULLIVANCredential: RN
Location Address2521 STOCKTON BLVD STE 3Sacramento, CA 95817-2207
Mailing Address2521 Stockton BlvdSacramento, CA 95817-2207
Phone(916) 734-3112
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 26, 2022
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1114646551 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 CA · 95025550
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 95166671 (CA)
2521 STOCKTON BLVD STE 3, Sacramento, CA 95817
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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 and accepts Medicare assignment

Alison Sullivan Rn 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.

PECOS PAC ID3971031378
PECOS Enrollment IDI20250114000092
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 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Alison Sullivan's NPI number?

The NPI number for Alison Sullivan is 1114646551. It was assigned to this individual provider in the NPPES registry on August 26, 2022.

Where is Alison Sullivan located?

Alison Sullivan practices at 2521 Stockton Blvd Ste 3, Sacramento, CA 95817. The listed phone number is (916) 734-3112.

What is Alison Sullivan's specialty?

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

Is Alison Sullivan enrolled in Medicare?

Yes. Alison 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.

When was this NPI record last updated?

The NPPES record for Alison Sullivan was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.