KATHRYN SULLIVAN FNP
NPI 1205179066
Nurse Practitioner - Family in Carlsbad, CA

Q: What is Kathryn Sullivan's NPI number?

The NPI number for Kathryn Sullivan is 1205179066. It was assigned to this individual provider in the NPPES registry on March 30, 2013.

Q: What is Kathryn Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathryn Sullivan was last updated on March 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 30, 2013PECOS EnrolledAccepts Medicare Assignment

2510 EL CAMINO REAL, CARLSBAD, CA 92008(186) 638-9272 Get Directions Write a Review

NPPES record last updated: March 30, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kathryn Sullivan Fnp NPPES

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

KATHRYN SULLIVAN FNP (NPI 1205179066) is an individual family provider in Carlsbad, California, licensed in California (21970) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1205179066

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHRYN SULLIVANCredential: FNP

Location Address2510 EL CAMINO REALCarlsbad, CA 92008-1273

Mailing Address1733 S Nevada StOceanside, CA 92054-6022

Phone(186) 638-9272

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 30, 2013

✔ NPI 1205179066 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 CA · 21970

2510 EL CAMINO REAL, Carlsbad, CA 92008

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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

Kathryn Sullivan Fnp 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 ID7416196068

PECOS Enrollment IDI20130612000182

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 92008 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 19

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

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