KAITLIN O'SULLIVAN AGACNP
NPI 1194486324
Nurse Practitioner - Acute Care in Savannah, GA

Active since January 10, 2022PECOS Enrolled
11705 MERCY BLVD, SAVANNAH, GA 31419(912) 819-5999 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2025, Oct 11, 2022, Oct 7, 2022 and 1 more (4 updates tracked since 2022).

About Kaitlin O'sullivan Agacnp NPPES

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

KAITLIN O'SULLIVAN AGACNP (NPI 1194486324) is an individual acute care provider in Savannah, Georgia, licensed in Georgia (RN255834) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194486324
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKAITLIN O'SULLIVANCredential: AGACNP
Location Address11705 MERCY BLVDSavannah, GA 31419-1711
Mailing Address340 Hodgson Ct Ste 4Savannah, GA 31406-1523 · (912) 927-6270
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 10, 2022
Last NPPES UpdateNovember 5, 20254 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1194486324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · RN255834
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN255834 (GA)
11705 MERCY BLVD, Savannah, GA 31419

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kaitlin O'sullivan Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183114564
PECOS Enrollment IDI20251104004305
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 31419 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Physician Assistant (Medical)
11705 MERCY BLVD
SAVANNAH, GA 31419
Physician Assistant (Medical)
11705 MERCY BLVD
SAVANNAH, GA 31419
Anesthesiology
11705 MERCY BLVD
SAVANNAH, GA 31419
Internal Medicine (Pulmonary Disease)
11705 MERCY BLVD
SAVANNAH, GA 31419
Anesthesiology
11705 MERCY BLVD
SAVANNAH, GA 31419
Physician Assistant
11705 MERCY BLVD
SAVANNAH, GA 31419
General Acute Care Hospital
11705 MERCY BLVD
SAVANNAH, GA 31419
Nurse Anesthetist, Certified Registered
11705 MERCY BLVD
SAVANNAH, GA 31419

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 Kaitlin O'sullivan's NPI number?

The NPI number for Kaitlin O'sullivan is 1194486324. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Kaitlin O'sullivan located?

Kaitlin O'sullivan practices at 11705 Mercy Blvd, Savannah, GA 31419. The listed phone number is (912) 819-5999.

What is Kaitlin O'sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kaitlin O'sullivan enrolled in Medicare?

Yes. Kaitlin O'sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlin O'sullivan was last updated on November 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.