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CLEMENCE MARIE SULLIVAN M.D.
NPI 1225354681
Internal Medicine in Saint Louis Park, MN

Active since April 10, 2010PECOS EnrolledAccepts Medicare Assignment
5100 GAMBLE DR STE 100, MAIL STOP 31200A, SAINT LOUIS PARK, MN 55416(952) 541-2500(952) 595-6455 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clemence Marie Sullivan M.d. NPPES

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

CLEMENCE MARIE SULLIVAN M.D. (NPI 1225354681) is an individual internal medicine provider in Saint Louis Park, Minnesota, licensed in Minnesota (58690) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1225354681
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCLEMENCE MARIE SULLIVANCredential: M.D.
Location Address5100 GAMBLE DR STE 100, MAIL STOP 31200ASaint Louis Park, MN 55416-1582
Mailing AddressPo Box 1309 - 8170 33rd Ave S, Ms 21110qMinneapolis, MN 55425-4516 · (952) 541-2500 · Fax (952) 595-6455
Phone(952) 541-2500
Fax(952) 595-6455
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 10, 2010
Last NPPES UpdateNovember 18, 2014
✔ NPI 1225354681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 58690
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 58690 (MN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5100 GAMBLE DR STE 100, Saint Louis Park, MN 55416
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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

Clemence Marie Sullivan M.d. 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 ID7416279278
PECOS Enrollment IDI20141204002451
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
113 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
42 services34 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims22 services$3.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MS. SARAH ELIZABETH GROEN PHARMD
Pharmacist
5100 GAMBLE DR STE 100
ST LOUIS PARK, MN 55416
Hennepin County (612) 530-1202
ZVI J FRANKFURT MD
Psychiatry & Neurology (Psychiatry)
5100 GAMBLE DR STE 100, MAIL STOP 31200A
SAINT LOUIS PARK, MN 55416
Hennepin County (952) 593-8777
DR. JILLIAN NICOLE SIMPSON PSYD, LP,
Psychologist
5100 GAMBLE DR STE 100
SAINT LOUIS PARK, MN 55416
Hennepin County (952) 541-2500
CHERYL GOLDENBERG PSYD, LP
Psychologist (Clinical)
5100 GAMBLE DR STE 100
SAINT LOUIS PARK, MN 55416
Hennepin County (952) 541-2500
MS. JILL HANSEN MA, LMFT
Marriage & Family Therapist
5100 GAMBLE DR STE 100, MAIL STOP 31200A
SAINT LOUIS PARK, MN 55416
Hennepin County (952) 541-2500
JOHN M DONOHUE DPM
Podiatrist (Foot & Ankle Surgery)
5100 GAMBLE DR STE 100, MAIL STOP 31200A
ST LOUIS PARK, MN 55416
Hennepin County (952) 541-2500

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 Clemence Sullivan's NPI number?

The NPI number for Clemence Sullivan is 1225354681. It was assigned to this individual provider in the NPPES registry on April 10, 2010.

Where is Clemence Sullivan located?

Clemence Sullivan practices at 5100 Gamble Dr Ste 100 Mail Stop 31200A, Saint Louis Park, MN 55416. The listed phone number is (952) 541-2500.

What is Clemence Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Clemence Sullivan enrolled in Medicare?

Yes. Clemence Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clemence Sullivan accept?

Health plans from HealthPartners and Medica list Clemence 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.

Is Clemence Sullivan affiliated with any hospitals?

According to CMS data, Clemence Sullivan is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Clemence Sullivan was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.