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DR. SUSAN SULLIVAN M.D.
NPI 1154647238
Pediatrics in Bentonville, AR

Active since April 14, 2010PECOS Enrolled
3101 SE 14TH ST, BENTONVILLE, AR 72712(479) 636-9234(479) 636-0774 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 9, 2017 (3 updates tracked since 2017).

About Dr. Susan Sullivan M.d. NPPES

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

DR. SUSAN SULLIVAN M.D. (NPI 1154647238) is an individual pediatrics provider in Bentonville, Arkansas, licensed in Arkansas (E-7987) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bella Vista.

NPPES Registry Identity

NPI1154647238
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSAN SULLIVANCredential: M.D.
Location Address3101 SE 14TH STBentonville, AR 72712-4900
Mailing Address3101 Se 14th StBentonville, AR 72712-4900 · (479) 636-9234 · Fax (479) 636-0774
Phone(479) 636-9234
Fax(479) 636-0774
Sole ProprietorNo
Enumeration DateApril 14, 2010
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1154647238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AR · E-7987
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3101 SE 14TH ST, Bentonville, AR 72712
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Other Names 1

Former Name (1)Ms. Susan Sullivan Demirel Md

Secondary Practice Location 1

Location 11 Mercy WayBella Vista, AR 72714-3000 · Phone (479) 636-9234 · Fax (479) 876-2856

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Sullivan M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Susan Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Northwest Arkansas Communities
2.4 mi
Orthopaedic Surgery
1101 S HORSEBARN RD
Rogers, AR 72758
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1699076737 (Arkansas)
  • 472 clinicians in this Medicare group
NPI 1063835908 (479) 271-9607
University Of Arkansas For Medical Sciences
17 mi
Psychiatry
3425 N FUTRALL DR STE 103
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 2,038 clinicians in this Medicare group
NPI 1720217599 (479) 713-8350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72712 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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.

AMAL K DUDAR PA-C
Physician Assistant
3101 SE 14TH ST
BENTONVILLE, AR 72712
Benton County (479) 250-1053
DIANA RENE DUNBAR APRN
Nurse Practitioner (Family)
3101 SE 14TH ST
BENTONVILLE, AR 72712
Benton County (479) 986-6090
MS. LISA ELAINE ATKINS ANP
Nurse Practitioner (Family)
3101 SE 14TH ST
BENTONVILLE, AR 72712
Benton County (479) 986-6090
MERCY HOSPITAL SPRINGFIELD
Durable Medical Equipment & Medical Supplies
3101 SE 14TH ST
BENTONVILLE, AR 72712
Benton County (479) 986-6050
MELINDA S TUCKER FNP-C
Nurse Practitioner (Family)
3101 SE 14TH ST
BENTONVILLE, AR 72712
Benton County (479) 986-6090
STEVEN BOYD JOHNSON PA-C
Physician Assistant (Medical)
3101 SE 14TH ST
BENTONVILLE, AR 72712
Benton County (479) 250-1053
DR. JAMES GAVIN SCHERER MD
Pediatrics (Adolescent Medicine)
3101 SE 14TH ST
BENTONVILLE, AR 72712
Benton County (479) 636-9234
SHANICA NEMBHARD
Pediatrics
3101 SE 14TH ST
BENTONVILLE, AR 72712
Benton County (479) 636-9234

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 Susan Sullivan's NPI number?

The NPI number for Susan Sullivan is 1154647238. It was assigned to this individual provider in the NPPES registry on April 14, 2010. The provider is also known as Ms. Susan Sullivan Demirel MD.

Where is Susan Sullivan located?

Susan Sullivan practices at 3101 SE 14th St, Bentonville, AR 72712. The listed phone number is (479) 636-9234.

What is Susan Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Susan Sullivan enrolled in Medicare?

Yes. Susan Sullivan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Sullivan reassigns Medicare benefits to 2 organizations: Mercy Health Northwest Arkansas Communities (Rogers, AR) and University Of Arkansas For Medical Sciences (Fayetteville, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Sullivan accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Susan 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 Susan Sullivan was last updated on July 21, 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.