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MEAGAN M SULLIVAN
NPI 1225664170
Nurse Practitioner - Adult Health in Lindenhurst, NY

Active since March 22, 2020PECOS EnrolledAccepts Medicare Assignment
910 ROUTE 109 STE A, LINDENHURST, NY 11757(631) 991-3235(631) 397-0919 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2024, Oct 1, 2021, Sep 1, 2020 and 2 more (5 updates tracked since 2020).

About Meagan M Sullivan NPPES

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

MEAGAN M SULLIVAN (NPI 1225664170) is an individual adult health provider in Lindenhurst, New York, licensed in New York (309601) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lindenhurst, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225664170
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMEAGAN M SULLIVAN
Location Address910 ROUTE 109 STE ALindenhurst, NY 11757-1158
Mailing Address910 Route 109 Ste ALindenhurst, NY 11757-1158 · (631) 383-9967 · Fax (631) 397-0919
Phone(631) 991-3235
Fax(631) 397-0919
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 22, 2020
Last NPPES UpdateJuly 12, 20245 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1225664170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 309601
Also ListedNurse PractitionerTaxonomy 363L00000X · License 309601 (NY)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 309601 (NY)
910 ROUTE 109 STE A, Lindenhurst, NY 11757
Open in Google Maps ↗

Secondary Practice Location 1

Location 1910 Route 109 Ste ALindenhurst, NY 11757-1158 · Phone (631) 383-9967 · Fax (631) 397-0919

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

Meagan M Sullivan 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 ID8527484872
PECOS Enrollment IDI20221114003004
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 11757 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Meagan Sullivan's NPI number?

The NPI number for Meagan Sullivan is 1225664170. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Where is Meagan Sullivan located?

Meagan Sullivan practices at 910 Route 109 Ste A, Lindenhurst, NY 11757. The listed phone number is (631) 991-3235.

What is Meagan Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Meagan Sullivan enrolled in Medicare?

Yes. Meagan 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.

When was this NPI record last updated?

The NPPES record for Meagan Sullivan was last updated on July 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.