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MOLLY SULLIVAN
NPI 1265983316
Nurse Practitioner - Family in Jackson, MS

Active since October 24, 2016PECOS EnrolledAccepts Medicare Assignment
350 W WOODROW WILSON AVE, JACKSON, MS 39213(601) 815-0157(601) 984-5257 Get Directions Write a Review

NPPES record last updated: December 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2016, Oct 24, 2016 (2 updates tracked since 2016).

About Molly Sullivan NPPES

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

MOLLY SULLIVAN (NPI 1265983316) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (901715) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265983316
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMOLLY SULLIVAN
Location Address350 W WOODROW WILSON AVEJackson, MS 39213-7681
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-0157 · Fax (601) 984-5257
Phone(601) 815-0157
Fax(601) 984-5257
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 24, 2016
Last NPPES UpdateDecember 28, 20162 updates tracked since enumeration
✔ NPI 1265983316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 901715
350 W WOODROW WILSON AVE, Jackson, MS 39213
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN546099YJ5DMS
Medicaid04950045MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare, UnitedHealthcare.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

Molly 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 ID7719268317
PECOS Enrollment IDI20161219001672
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 39213 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

JACKSON STATE UNIVERSITY
Social Worker (Clinical)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 979-1531
DR. EVA MAE HENDERSON M.D.
Pediatrics
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 709-5150
WANDA JOHNSON BCFNP
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE, SUITE 411
JACKSON, MS 39213
Hinds County (601) 364-2666
DR. SHEILA KALKA JEFF MD
Family Medicine
350 W WOODROW WILSON AVE, BOX 20
JACKSON, MS 39213
Hinds County (601) 364-2666
TIMOTHY PAUL MCNEILL RN
Registered Nurse
350 W WOODROW WILSON AVE, #499A
JACKSON, MS 39213
Hinds County (601) 500-7709
DR. KANDIS VECHELLE BACKUS PHARMD
Pharmacist (Ambulatory Care)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 815-3272
DR. SRINIVASAN VIJAYAKUMAR M.D.
Radiology (Radiation Oncology)
350 W WOODROW WILSON AVE, SUITE 16
JACKSON, MS 39213
Hinds County (601) 815-6886
MEDICAL MALL HEALTH SERVICES OF MISSISSIPPI, LLC
Nurse Practitioner (Primary Care)
350 W WOODROW WILSON AVE, SUITE 499A
JACKSON, MS 39213
Hinds County (601) 700-7709

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 Molly Sullivan's NPI number?

The NPI number for Molly Sullivan is 1265983316. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Molly Sullivan located?

Molly Sullivan practices at 350 W Woodrow Wilson Ave, Jackson, MS 39213. The listed phone number is (601) 815-0157.

What is Molly Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Molly Sullivan enrolled in Medicare?

Yes. Molly 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 Molly Sullivan accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare and UnitedHealthcare list Molly 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 Molly Sullivan was last updated on December 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.