MS. LINDA S SULLIVAN NP
NPI 1174593818
Nurse Practitioner in Fairfax, VA

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER, FAIRFAX, VA 22033(703) 934-5700 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Linda S Sullivan Np NPPES

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

MS. LINDA S SULLIVAN NP (NPI 1174593818) is an individual nurse practitioner in Fairfax, Virginia, licensed in Virginia (0024080712) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1174593818
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. LINDA S SULLIVANCredential: NP
Location Address12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTERFairfax, VA 22033-3952
Mailing Address2101 E Jefferson St, Kaiser Permanente Medicare EnrollmentRockville, MD 20852-4908 · (301) 816-2424
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJune 3, 2021
NPPES CertifiedJune 3, 2021
NPI 1174593818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in VA · 0024080712
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024080712 (VA)
12255 FAIR LAKES PKWY, Fairfax, VA 22033

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

Ms. Linda S Sullivan Np 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 ID4385714344
PECOS Enrollment IDI20080603000071, I20090216000386, I20220910000060
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 22033 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Family Medicine
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033
Internal Medicine (Hematology & Oncology)
12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER
FAIRFAX, VA 22033
Obstetrics & Gynecology
12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER
FAIRFAX, VA 22033
Pediatrics
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033
Ophthalmology
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033
Clinic/Center (Health Service)
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033
Ophthalmology
12255 FAIR LAKES PKWY, KAISER PERMANENTE
FAIRFAX, VA 22033
Colon & Rectal Surgery
12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER
FAIRFAX, VA 22033

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 Linda Sullivan's NPI number?

The NPI number for Linda Sullivan is 1174593818. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Linda Sullivan located?

Linda Sullivan practices at 12255 Fair Lakes Pkwy Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033. The listed phone number is (703) 934-5700.

What is Linda Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Linda Sullivan enrolled in Medicare?

Yes. Linda 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.

When was this NPI record last updated?

The NPPES record for Linda Sullivan was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.