MRS. SANDRA SULLIVAN FNP
NPI 1154541639
Nurse Practitioner - Family in Fresno, CA

Q: What is Sandra Sullivan's NPI number?

The NPI number for Sandra Sullivan is 1154541639. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Q: What is Sandra 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 Sandra Sullivan was last updated on August 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2007PECOS Enrolled

1207 E HERNDON AVE, FRESNO, CA 93720(559) 432-4303(559) 432-4574 Get Directions Write a Review

NPPES record last updated: August 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Sandra Sullivan Fnp NPPES

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

MRS. SANDRA SULLIVAN FNP (NPI 1154541639) is an individual family provider in Fresno, California, licensed in California (23222) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154541639

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SANDRA SULLIVANCredential: FNP

Location Address1207 E HERNDON AVEFresno, CA 93720-3235

Mailing Address1207 E Herndon AveFresno, CA 93720-3235 · (559) 432-4303 · Fax (559) 432-4574

Phone(559) 432-4303

Fax(559) 432-4574

Sole ProprietorNo

Enumeration DateApril 26, 2007

Last NPPES UpdateAugust 5, 2013

✔ NPI 1154541639 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 · 23222

Also ListedRegistered NurseTaxonomy 163W00000X · License 641477 (CA)

1207 E HERNDON AVE, Fresno, CA 93720

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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)

Mrs. Sandra Sullivan Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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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