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AMY IRIS SULLIVAN PMHNP
NPI 1194463398
Nurse Practitioner - Psychiatric/Mental Health in Clifton Park, NY

Active since May 26, 2022PECOS Enrolled
939 ROUTE 146 STE 620, CLIFTON PARK, NY 12065(518) 925-7217 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2022, May 26, 2022 (2 updates tracked since 2022).

About Amy Iris Sullivan Pmhnp NPPES

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

AMY IRIS SULLIVAN PMHNP (NPI 1194463398) is an individual psychiatric/mental health provider in Clifton Park, New York, licensed in New York (404245) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194463398
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMY IRIS SULLIVANCredential: PMHNP
Location Address939 ROUTE 146 STE 620Clifton Park, NY 12065-3629
Mailing AddressPo Box 14890Albany, NY 12212-4890
Phone(518) 925-7217
Sole ProprietorYes
Enumeration DateMay 26, 2022
Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1194463398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404245
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
939 ROUTE 146 STE 620, Clifton Park, NY 12065
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Iris Sullivan Pmhnp 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

3

Medicare enrollment records show Amy Sullivan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Peters Hospital
11 mi
Nutrition, Education
1 PINEWEST PLAZA SUITE 101
Albany, NY 12205
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
NPI 1437225828 (518) 464-9999
Samaritan Hospital Of Troy, New York
11 mi
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
NPI 1043267727 (518) 271-3300
Pinnacle Behavioral Health Ipa PLLC
13 mi
Mental Health
10 MCKOWN RD STE 102
Albany, NY 12203
  • Reassigned Medicare billing, New York enrollment
  • 41 clinicians in this Medicare group
NPI 1447276720 (518) 689-0244

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 12065 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 2

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

JODI LYNN CARSON PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
939 ROUTE 146 STE 620
CLIFTON PARK, NY 12065
Saratoga County (518) 416-0359
JODI L. CARSON NURSE PRACTITIONER IN PSYCHIATRY
Nurse Practitioner (Psychiatric/Mental Health)
939 ROUTE 146 STE 620
CLIFTON PARK, NY 12065
Saratoga County (518) 414-5706

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 Amy Sullivan's NPI number?

The NPI number for Amy Sullivan is 1194463398. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Amy Sullivan located?

Amy Sullivan practices at 939 Route 146 Ste 620, Clifton Park, NY 12065. The listed phone number is (518) 925-7217.

What is Amy Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amy Sullivan enrolled in Medicare?

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

Which organizations bill Medicare for Amy Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Sullivan reassigns Medicare benefits to 3 organizations: St Peters Hospital (Albany, NY), Samaritan Hospital Of Troy, New York (Troy, NY) and Pinnacle Behavioral Health Ipa PLLC (Albany, NY). 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 Amy Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Sullivan was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.