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MRS. KRISTIN MARIE SULLIVAN PA-C
NPI 1194076620
Physician Assistant in Boston, MA

Active since September 24, 2012PECOS EnrolledAccepts Medicare Assignment
125 PARKER HILL AVE, CONVERSE 4, BOSTON, MA 02120(617) 754-6025(617) 754-6026 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kristin Marie Sullivan Pa-c NPPES

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

MRS. KRISTIN MARIE SULLIVAN PA-C (NPI 1194076620) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA4454) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with New England Baptist Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1194076620
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KRISTIN MARIE SULLIVANCredential: PA-C
Location Address125 PARKER HILL AVE, CONVERSE 4Boston, MA 02120-2847
Mailing Address125 Parker Hill Ave, Converse 4Boston, MA 02120-2847 · (617) 754-6025 · Fax (617) 754-6026
Phone(617) 754-6025
Fax(617) 754-6026
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 24, 2012
Last NPPES UpdateJanuary 10, 2017
✔ NPI 1194076620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA4454
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
125 PARKER HILL AVE, Boston, MA 02120
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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 and accepts Medicare assignment

Mrs. Kristin Marie Sullivan Pa-c 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 ID1052563103
PECOS Enrollment IDI20121218000457
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New England Baptist Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220088
Location125 Parker Hill AvenueBoston, MA 02120 · Suffolk County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02120 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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.

DR. JUDITH ANN WALIGUNDA M.D.
Internal Medicine
125 PARKER HILL AVE, SUITE #450
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-5910
BOSTON CARDIOVASCULAR ASSOCIATES, P.C.
Internal Medicine (Cardiovascular Disease)
125 PARKER HILL AVE, STE 500
ROXBURY CROSSING, MA 02120
Suffolk County (617) 735-9200
MISS AMY HANSON
Physical Therapist
125 PARKER HILL AVE
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-5500
KIMBERLY LICHING KIT CASTRO PT
Physical Therapist
125 PARKER HILL AVE, CONVERSE 6 PT GYM
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-5626
RICHARD R. GUILLAUME CRNA
Nurse Anesthetist, Certified Registered
125 PARKER HILL AVE
BOSTON, MA 02120
Suffolk County (617) 667-3364
ERIC J. WOODARD, MD PC
Neurological Surgery
125 PARKER HILL AVE, CONVERSE 5
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-6576
SCOTT G TROMANHAUSER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
125 PARKER HILL AVE, CONVERSE 4
BOSTON, MA 02120
Suffolk County (617) 754-5470
CHARLES JOSEPH DOW M.D.
Internal Medicine (Cardiovascular Disease)
125 PARKER HILL AVE, FOGG 430
ROXBURY CROSSING, MA 02120
Suffolk County (617) 264-4500

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 Kristin Sullivan's NPI number?

The NPI number for Kristin Sullivan is 1194076620. It was assigned to this individual provider in the NPPES registry on September 24, 2012.

Where is Kristin Sullivan located?

Kristin Sullivan practices at 125 Parker Hill Ave Converse 4, Boston, MA 02120. The listed phone number is (617) 754-6025.

What is Kristin Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristin Sullivan enrolled in Medicare?

Yes. Kristin 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 Kristin Sullivan affiliated with any hospitals?

According to CMS data, Kristin Sullivan is affiliated with New England Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Kristin Sullivan was last updated on January 10, 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.