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

Q: 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.

Q: 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.

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: October 18, 2026.

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

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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

Phone(912) 819-5999

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Kaitlin O'sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Lung & Critical Care Specialists, P.C.

Same address

Pulmonary Disease

11705 MERCY BLVD
Savannah, GA 31419

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Southeast Lung & Critical Care Specialists PC
19 clinicians in this Medicare group

NPI 1023383247 (912) 629-2290

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 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.

CLAUDIA GRIFFIN PA-C

Physician Assistant (Medical)