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JANE SULLA FNP
NPI 1205062049
Nurse Practitioner - Family in Southfield, MI

Active since June 08, 2009PECOS Enrolled
29201 TELEGRAPH RD STE 200A, SOUTHFIELD, MI 48034(248) 796-7486(248) 714-4809 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jane Sulla Fnp NPPES

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

JANE SULLA FNP (NPI 1205062049) is an individual family provider in Southfield, Michigan, licensed in Michigan (4704270879) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Bloomfield.

NPPES Registry Identity

NPI1205062049
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJANE SULLACredential: FNP
Location Address29201 TELEGRAPH RD STE 200ASouthfield, MI 48034-7645
Mailing Address1845 Midchester DrWest Bloomfield, MI 48324-1138 · (248) 722-4644
Phone(248) 796-7486
Fax(248) 714-4809
Sole ProprietorNo
Enumeration DateJune 8, 2009
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
✔ NPI 1205062049 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 MI · 4704270879
29201 TELEGRAPH RD STE 200A, Southfield, MI 48034
Open in Google Maps ↗

Secondary Practice Location 1

Location 11845 Midchester DrWest Bloomfield, MI 48324-1138 · Phone (248) 722-4644

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jane Sulla Fnp 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 Reassignment

Medicare enrollment records show Jane Sulla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile
Same address
Family Medicine
29201 TELEGRAPH RD STE 200A
Southfield, MI 48034
  • Reassigned Medicare billing, Michigan enrollment
NPI 1942400346 (248) 796-7466

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 48034 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

DR. KATHERINE MORRISON DPM
Podiatrist (Foot Surgery)
29201 TELEGRAPH RD STE 200A
SOUTHFIELD, MI 48034
Oakland County (248) 568-1553
ANDREI KATYCHEV MD
Family Medicine
29201 TELEGRAPH RD STE 200A
SOUTHFIELD, MI 48034
Oakland County (248) 796-7466

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 Jane Sulla's NPI number?

The NPI number for Jane Sulla is 1205062049. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Where is Jane Sulla located?

Jane Sulla practices at 29201 Telegraph Rd Ste 200A, Southfield, MI 48034. The listed phone number is (248) 796-7486.

What is Jane Sulla's specialty?

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

Is Jane Sulla enrolled in Medicare?

Yes. Jane Sulla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jane Sulla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Sulla reassigns Medicare benefits to (Southfield, MI). The 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 Jane Sulla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jane Sulla accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jane Sulla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jane Sulla was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.