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MRS. CAROLYN ANNE SULLIVAN AC PNP
NPI 1225306269
Nurse Practitioner - Pediatrics, Critical Care in Springfield, MO

Active since December 05, 2011PECOS Enrolled
3231 S NATIONAL AVE, SUITE 115, SPRINGFIELD, MO 65807(417) 885-0824(417) 890-4174 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Carolyn Anne Sullivan Ac Pnp NPPES

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

MRS. CAROLYN ANNE SULLIVAN AC PNP (NPI 1225306269) is an individual pediatrics, critical care provider in Springfield, Missouri, licensed in Missouri (2015003901) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225306269
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameMRS. CAROLYN ANNE SULLIVANCredential: AC PNP
Location Address3231 S NATIONAL AVE, SUITE 115Springfield, MO 65807-7304
Mailing AddressPo Box 505164Saint Louis, MO 63150-5164 · (417) 829-4620 · Fax (417) 829-4316
Phone(417) 885-0824
Fax(417) 890-4174
Sole ProprietorNo
Enumeration DateDecember 5, 2011
Last NPPES UpdateNovember 19, 2015
✔ NPI 1225306269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
Licenses✔ Licensed in MO · 2015003901✔ Licensed in IL · 209009257
3231 S NATIONAL AVE, Springfield, MO 65807
Open in Google Maps ↗

Other Identifiers 2

Medicaid1225306269MO
Medicare PIN132680725MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carolyn Anne Sullivan Ac Pnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

DR. MARK H. GRIMM MD
Internal Medicine (Pulmonary Disease)
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 888-5696
DR. JOHN H BROWN MD
Family Medicine
3231 S NATIONAL AVE, SUITE 280
SPRINGFIELD, MO 65807
Greene County (417) 885-0834
DR. JAY L SPARKS MD
Family Medicine
3231 S NATIONAL AVE, SUITE 220
SPRINGFIELD, MO 65807
Greene County (417) 820-7450
DR. DAN R. MOSTROM DPM
Podiatrist
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 888-6708
FRANCES H BUNCH LD
Dietitian, Registered
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 820-2000
DR. DAN D PARK DPM
Podiatrist
3231 S NATIONAL AVE, SUITE 160
SPRINGFIELD, MO 65807
Greene County (417) 888-6708
DR. JOE EDWARD HIMES MD
Family Medicine
3231 S NATIONAL AVE, STE 115
SPRINGFIELD, MO 65807
Greene County (417) 888-6790
MRS. MICHELLE S. EPPERSON RPH
Pharmacist
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 841-0116

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 Carolyn Sullivan's NPI number?

The NPI number for Carolyn Sullivan is 1225306269. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Where is Carolyn Sullivan located?

Carolyn Sullivan practices at 3231 S National Ave Suite 115, Springfield, MO 65807. The listed phone number is (417) 885-0824.

What is Carolyn Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Carolyn Sullivan enrolled in Medicare?

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

What insurance does Carolyn Sullivan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Carolyn Sullivan 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 Carolyn Sullivan was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.