ANNE LORRAINE SELF SULLIVAN MD
NPI 1114913555
Family Medicine in Memphis, TN

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
90.45/100
CMS Quality Rating
1520 UNION AVE, MEMPHIS, TN 38174(901) 276-2410 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2021, Oct 20, 2016 (2 updates tracked since 2016).

About Anne Lorraine Self Sullivan Md NPPES

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

ANNE LORRAINE SELF SULLIVAN MD (NPI 1114913555) is an individual family medicine provider in Memphis, Tennessee, licensed in Tennessee (MD47894) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Southaven, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1986).

NPPES Registry Identity

NPI1114913555
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANNE LORRAINE SELF SULLIVANCredential: MD
Location Address1520 UNION AVEMemphis, TN 38174-0275
Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401 · Fax (901) 227-8591
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1986
Enumeration DateSeptember 21, 2005
Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
NPI 1114913555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TN · MD47894 Licensed in MS · 29526
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1520 UNION AVE, Memphis, TN 38174

Other Names 1

Other Name (5)Anne Lorraine Sullivan Md

Secondary Practice Location 1

Location 17736 Airways BlvdSouthaven, MS 38671-5306 · Phone (662) 772-5222 · Fax (662) 772-5957

Accepted Insurance

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

Anne Lorraine Self Sullivan Md 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 ID6800864158
PECOS Enrollment IDI20120608000186, I20211215003052
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services36 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
43 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services25 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38174 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.8
Improvement Activities40
Cost64.69

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
1520 UNION AVE
MEMPHIS, TN 38174
Family Medicine
1520 UNION AVE
MEMPHIS, TN 38174
Nurse Practitioner (Family)
1520 UNION AVE
MEMPHIS, TN 38174

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 Anne Sullivan's NPI number?

The NPI number for Anne Sullivan is 1114913555. It was assigned to this individual provider in the NPPES registry on September 21, 2005. The provider is also known as Anne Lorraine Sullivan MD.

Where is Anne Sullivan located?

Anne Sullivan practices at 1520 Union Ave, Memphis, TN 38174. The listed phone number is (901) 276-2410.

What is Anne Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anne Sullivan enrolled in Medicare?

Yes. Anne 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.

What insurance does Anne Sullivan accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, BlueCross BlueShield of Tennessee, Health Advantage and Octave and 2 other insurers list Anne 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 Anne Sullivan was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.