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KEVIN JOHN SULLIVAN CRNA
NPI 1245538669
Nurse Anesthetist, Certified Registered in Tamuning, GU

Active since March 09, 2011Accepts Medicare Assignment
280 PALE SAN VITORES RD, TAMUNING, GU 96913(671) 647-4542 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2020, Feb 19, 2020 (2 updates tracked since 2020).

About Kevin John Sullivan Crna NPPES

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

KEVIN JOHN SULLIVAN CRNA (NPI 1245538669) is an individual nurse anesthetist, certified registered in Tamuning, Guam, licensed in Guam (NP0152) and active in the NPI registry since March 2011. He is a graduate of Other (2010).

NPPES Registry Identity

NPI1245538669
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKEVIN JOHN SULLIVANCredential: CRNA
Location Address280 PALE SAN VITORES RDTamuning, GU 96913-3615
Mailing Address369 Farenholt AveTamuning, GU 96913-3106 · (671) 787-8627
Phone(671) 647-4542
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 9, 2011
Last NPPES UpdateMarch 12, 20202 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
✔ NPI 1245538669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in GU · NP0152✔ Licensed in NV · CRNA000407✔ Licensed in FL · ARNP9237910
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Other Identifiers 3

Medicaid003321600FL
OtherG00N4FL · Bcbs Attached To Grp 77329
OtherP01195017FL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin John Sullivan Crna 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 ID6002091493
PECOS Enrollment IDI20110428000599

Medicare Billing Reassignments

5

Medicare enrollment records show Kevin Sullivan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Dynamics LLC
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Florida enrollment
  • 1,887 clinicians in this Medicare group
NPI 1073001012 (888) 851-4642
Fleming Island Anesthesia LLC
Anesthesiology
1670 EAGLE HARBOR PKWY
Orange Park, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 876 clinicians in this Medicare group
NPI 1487945895 (904) 644-0700
Office Anesthesia Staffing
Nurse Anesthetist, Certified Registered
901 34TH AVE N UNIT 7266
Saint Petersburg, FL 33734
  • Reassigned Medicare billing, Florida enrollment
  • 122 clinicians in this Medicare group
NPI 1972232023 (727) 203-5114
Sheridan Healthcorp Inc
Anesthesiology
601 N FLAMINGO RD
Pembroke Pines, FL 33028
  • Reassigned Medicare billing, Florida enrollment
  • 1,973 clinicians in this Medicare group
NPI 1023680543 (877) 328-1119
Sunshine State Anesthesia Partners LLC
Anesthesiology
2020 59TH ST W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 792 clinicians in this Medicare group
NPI 1437757127 (888) 276-1910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938
This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.
24 services24 patients
Anesthesia for nerve block and injection procedure, prone position 01992
Anesthesia for nerve block and injection is a procedure to numb specific areas, reducing pain. You'll be positioned face-down (prone) for optimal access to the treatment area. The anesthetic is injected near the nerve, blocking pain signals to the brain.
20 services20 patients
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415
This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
14 services14 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96913 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

Other Providers at the Same Location NPPES 9

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

SPECTRUM CONSULTING GROUP
Clinic/Center
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 689-4219
DR. KIRK BELLIS D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
280 PALE SAN VITORES RD, SUNFLOWER VILLA SUITE 205
TAMUNING, GU 96913
Guam (671) 646-4757
HAFA SPECIALIST GROUP LLP
Specialist
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 647-4542
REST ASSURED ANESTHESIA SERVICES, INC.
Nurse Anesthetist, Certified Registered
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 486-6368
DR. JOHN A FEGURGUR M.D.
Surgery (Plastic and Reconstructive Surgery)
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 647-4542
DR. KIA M RAHMANI M.D.
Surgery
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 647-4542
DR. ALEXANDRA HERRERO LEON GUERRERO M.D.
Surgery
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 647-4542
DR. JITKA LOM M.D.
Family Medicine
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 647-4542

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 Kevin Sullivan's NPI number?

The NPI number for Kevin Sullivan is 1245538669. It was assigned to this individual provider in the NPPES registry on March 9, 2011.

Where is Kevin Sullivan located?

Kevin Sullivan practices at 280 Pale San Vitores Rd, Tamuning, GU 96913. The listed phone number is (671) 647-4542.

What is Kevin Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kevin Sullivan enrolled in Medicare?

Yes. Kevin 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.

Which organizations bill Medicare for Kevin Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Sullivan reassigns Medicare benefits to 5 organizations: Anesthesia Dynamics LLC (Bradenton, FL), Fleming Island Anesthesia LLC (Orange Park, FL), Office Anesthesia Staffing (Saint Petersburg, FL), Sheridan Healthcorp Inc (Pembroke Pines, FL) and Sunshine State Anesthesia Partners LLC (Bradenton, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Sullivan accept?

Health plans from Oscar Health Maintenance Organization of Florida list Kevin 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 Kevin Sullivan was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.