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LAURA NASTASSJA SULLIVAN PA
NPI 1124455704
Physician Assistant in Apex, NC

Active since September 27, 2013PECOS EnrolledAccepts Medicare Assignment
1011 PEMBERTON HILL RD, STE 101, APEX, NC 27502(919) 620-4700 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura Nastassja Sullivan Pa NPPES

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

LAURA NASTASSJA SULLIVAN PA (NPI 1124455704) is an individual physician assistant in Apex, North Carolina, licensed in North Carolina (0010-04483) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1124455704
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAURA NASTASSJA SULLIVANCredential: PA
Location Address1011 PEMBERTON HILL RD, STE 101Apex, NC 27502-4266
Mailing AddressPo Box 751274Charlotte, NC 28275-1274 · (919) 620-4700
Phone(919) 620-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 27, 2013
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1124455704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-04483
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1011 PEMBERTON HILL RD, Apex, NC 27502
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Secondary Practice Location 1

Location 111200 Governor Manly Way Ste 114Raleigh, NC 27614-7360 · Phone (919) 570-7660

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Laura Nastassja Sullivan Pa 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 ID8527293620
PECOS Enrollment IDI20131025001444
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 6

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.
53 services52 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
18 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services16 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27502 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 6

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

DUKE UNIVERSITY AFFLIATED PHYSICIANS, INC
Family Medicine
1011 PEMBERTON HILL RD, STE 101
APEX, NC 27502
Wake County (919) 367-9355
KATHLEEN ELIZABETH LUKASIK PA-C
Physician Assistant
1011 PEMBERTON HILL RD, SUITE 101
APEX, NC 27502
Wake County (919) 367-9355
PEAK FAMILY MEDICINE, PA
Nurse Practitioner
1011 PEMBERTON HILL RD, SUITE 101
APEX, NC 27502
Wake County (919) 367-9355
JACLYN FORTIER M.A.
Counselor (Mental Health)
1011 PEMBERTON HILL RD, SUITE 202
APEX, NC 27502
Wake County (919) 410-3852
DR. SAMUEL DWIGHT BLACKWELL M.D.
Family Medicine
1011 PEMBERTON HILL RD, SUITE 101
APEX, NC 27502
Wake County (919) 367-9355
PEAK NURITION AND WEIGHT LOSS CLINIC PA
Dietitian, Registered (Nutrition, Metabolic)
1011 PEMBERTON HILL RD, SUITE 101
APEX, NC 27502
Wake County (919) 367-9355

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 Laura Sullivan's NPI number?

The NPI number for Laura Sullivan is 1124455704. It was assigned to this individual provider in the NPPES registry on September 27, 2013.

Where is Laura Sullivan located?

Laura Sullivan practices at 1011 Pemberton Hill Rd Ste 101, Apex, NC 27502. The listed phone number is (919) 620-4700.

What is Laura Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Laura Sullivan enrolled in Medicare?

Yes. Laura 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 Laura Sullivan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Laura 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.

Is Laura Sullivan affiliated with any hospitals?

According to CMS data, Laura Sullivan is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Laura Sullivan was last updated on June 1, 2022. 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.