SHAYLEE SULLIVAN FNP-BC
NPI 1134660723
Nurse Practitioner - Family in Springfield, IL
About Shaylee Sullivan Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAYLEE SULLIVAN FNP-BC (NPI 1134660723) is an individual family provider in Springfield, Illinois, licensed in Illinois (209015610) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Shaylee Sullivan Fnp-bc 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62702 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
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 Shaylee Sullivan's NPI number?
The NPI number for Shaylee Sullivan is 1134660723. It was assigned to this individual provider in the NPPES registry on March 15, 2017.
Where is Shaylee Sullivan located?
Shaylee Sullivan practices at 751 N Rutledge St, Springfield, IL 62702. The listed phone number is (217) 545-8000.
What is Shaylee Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shaylee Sullivan enrolled in Medicare?
Yes. Shaylee 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.
Is Shaylee Sullivan affiliated with any hospitals?
According to CMS data, Shaylee Sullivan is affiliated with Memorial Medical Center.
When was this NPI record last updated?
The NPPES record for Shaylee Sullivan was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Shaylee Sullivan, FNP-BC · NPI 1134660723
Family physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since March 15, 2017.
## Identity
- **NPI:** 1134660723 (Entity type: Individual)
- **Enumerated:** March 15, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209015610 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 N RUTLEDGE ST, Springfield, IL 62702-4968
- **Phone:** (217) 545-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 15, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1134660723) · Data from the CMS NPPES public registry.