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KAREN ANN SULLIVAN CNM, FNP
NPI 1245259134
Advanced Practice Midwife in Biddeford, ME

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
9 HEALTHCARE DR STE 101, BIDDEFORD, ME 04005(207) 282-4270(207) 294-8332 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2026, Jul 31, 2024, Jul 18, 2024 (3 updates tracked since 2024).

About Karen Ann Sullivan Cnm, Fnp NPPES

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

KAREN ANN SULLIVAN CNM, FNP (NPI 1245259134) is an individual advanced practice midwife in Biddeford, Maine, licensed in Maine (CNM82012) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Biddeford.

NPPES Registry Identity

NPI1245259134
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameKAREN ANN SULLIVANCredential: CNM, FNP
Location Address9 HEALTHCARE DR STE 101Biddeford, ME 04005-9445
Mailing Address9 Healthcare Dr Ste 101Biddeford, ME 04005-9445 · (207) 282-4270 · Fax (207) 294-8332
Phone(207) 282-4270
Fax(207) 294-8332
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 19, 2006
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1245259134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in ME · CNM82012
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CNP121054 (ME)
9 HEALTHCARE DR STE 101, Biddeford, ME 04005
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Other Names 1

Former Name (1)Karen A Stewart Cnm

Secondary Practice Location 1

Location 11 Medical Center DrBiddeford, ME 04005-9422 · Phone (207) 282-4270 · Fax (207) 294-8332

Other Identifiers 1

Medicaid404090099ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Karen Ann Sullivan Cnm, 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 ID7719971696
PECOS Enrollment IDI20040413001088
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.

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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. MARGARET JOHANNA OSGOOD PMHNP, FNP
Nurse Practitioner (Psychiatric/Mental Health)
9 HEALTHCARE DR STE 101
BIDDEFORD, ME 04005
York County (207) 282-4270
LAURA-FRANCES MORIN DO
Obstetrics & Gynecology
9 HEALTHCARE DR STE 101
BIDDEFORD, ME 04005
York County (303) 990-3492
ERICA IRENE MARTINEZ MD
Obstetrics & Gynecology
9 HEALTHCARE DR STE 101
BIDDEFORD, ME 04005
York County (207) 282-4270
LILLIAN FRANCES CONOVER MD, MPH
Obstetrics & Gynecology
9 HEALTHCARE DR STE 101
BIDDEFORD, ME 04005
York County (207) 282-4270
BENINE MUDYMBA MBUYAMBA LCSW
Social Worker (Clinical)
9 HEALTHCARE DR STE 101
BIDDEFORD, ME 04005
York County (207) 282-4270
ERIN M NOLIN FNP
Nurse Practitioner (Family)
9 HEALTHCARE DR STE 101
BIDDEFORD, ME 04005
York County (207) 294-8323

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 Karen Sullivan's NPI number?

The NPI number for Karen Sullivan is 1245259134. It was assigned to this individual provider in the NPPES registry on July 19, 2006. The provider is also known as Karen A Stewart Cnm.

Where is Karen Sullivan located?

Karen Sullivan practices at 9 Healthcare Dr Ste 101, Biddeford, ME 04005. The listed phone number is (207) 282-4270.

What is Karen Sullivan's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Karen Sullivan enrolled in Medicare?

Yes. Karen 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 Karen Sullivan accept?

Health plans from Harvard Pilgrim Health Care list Karen 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 Karen Sullivan affiliated with any hospitals?

According to CMS data, Karen Sullivan is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Sullivan was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.