DEBORAH S SULLIVAN NURSE PRACTITIONER
NPI 1174620652
Nurse Practitioner - Family in Meadville, MS

Active since September 19, 2006PECOS Enrolled
595 MAIN ST E, MEADVILLE, MS 39653(601) 384-3199(601) 384-3950 Get Directions Write a Review

NPPES record last updated: April 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deborah S Sullivan Nurse Practitioner NPPES

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

DEBORAH S SULLIVAN NURSE PRACTITIONER (NPI 1174620652) is an individual family provider in Meadville, Mississippi, licensed in Mississippi (R524239) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174620652
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEBORAH S SULLIVANCredential: NURSE PRACTITIONER
Location Address595 MAIN ST EMeadville, MS 39653-9233
Mailing Address595 Main St E, P.o. Box 636Meadville, MS 39653-9233 · (601) 384-3199 · Fax (601) 384-3950
Fax(601) 384-3950
Sole ProprietorNo
Enumeration DateSeptember 19, 2006
Last NPPES UpdateApril 2, 2014
NPI 1174620652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R524239
595 MAIN ST E, Meadville, MS 39653

Other Identifiers 3

Medicare UPINS79412MS
Medicare PIN500000479MS
Medicaid00120619MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Deborah S Sullivan Nurse Practitioner 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 39653 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 6

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

Clinic/Center (Rural Health)
595 MAIN ST E
MEADVILLE, MS 39653
Nurse Practitioner (Family)
595 MAIN ST E
MEADVILLE, MS 39653
Family Medicine
595 MAIN ST E
MEADVILLE, MS 39653
Nurse Practitioner (Family)
595 MAIN ST E
MEADVILLE, MS 39653
Family Medicine
595 MAIN ST E
MEADVILLE, MS 39653
Nurse Practitioner (Psychiatric/Mental Health)
595 MAIN ST E
MEADVILLE, MS 39653

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 Deborah Sullivan's NPI number?

The NPI number for Deborah Sullivan is 1174620652. It was assigned to this individual provider in the NPPES registry on September 19, 2006.

Where is Deborah Sullivan located?

Deborah Sullivan practices at 595 Main St E, Meadville, MS 39653. The listed phone number is (601) 384-3199.

What is Deborah Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Deborah Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Deborah Sullivan was last updated on April 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.