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ALEX BRENNAN SULLIVAN
NPI 1275113334
Nurse Anesthetist, Certified Registered in Harrisburg, PA

Active since April 13, 2021Accepts Medicare Assignment
71.17/100
CMS Quality Rating
111 S FRONT ST, HARRISBURG, PA 17101(717) 782-3282 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2021, Apr 13, 2021 (2 updates tracked since 2021).

About Alex Brennan Sullivan NPPES

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

ALEX BRENNAN SULLIVAN (NPI 1275113334) is an individual nurse anesthetist, certified registered in Harrisburg, Pennsylvania, licensed in Pennsylvania (RN682784) and active in the NPI registry since April 2021. He is affiliated with Penn State Health Holy Spirit Medical Center, maintains a secondary practice location in York, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1275113334
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameALEX BRENNAN SULLIVAN
Location Address111 S FRONT STHarrisburg, PA 17101-2010
Mailing Address111 S Front StHarrisburg, PA 17101-2010 · (717) 782-3282
Phone(717) 782-3282
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 13, 2021
Last NPPES UpdateJuly 23, 20212 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
✔ NPI 1275113334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in PA · RN682784
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN682784 (PA)
111 S FRONT ST, Harrisburg, PA 17101
Open in Google Maps ↗

Secondary Practice Location 1

Location 13082 Mackenzi Ln Apt 3York, PA 17408-9275 · Phone (570) 447-7787

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

Alex Brennan 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 ID9335542851
PECOS Enrollment IDI20210721003113

Medicare Billing Reassignments

5

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

Upmc Pinnacle Anesthesia Services, LLC
Same address
Anesthesiology
111 S FRONT ST
Harrisburg, PA 17101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 394 clinicians in this Medicare group
NPI 1730693979 (717) 782-3131
Penn State Health Medical Group, LLC
1.7 mi
Pulmonary Disease
50 N 12TH ST
Lemoyne, PA 17043
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 994 clinicians in this Medicare group
NPI 1801433149 (717) 234-2561
Capital Anesthesia LLC
2.1 mi
Nurse Anesthetist, Certified Registered
423 N 21ST ST, SUITE 106
Camp Hill, PA 17011
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 11 clinicians in this Medicare group
NPI 1447210737 (717) 975-2430
Susquehanna Physician Services
69 mi
Pain Medicine
1100 GRAMPIAN BLVD
Williamsport, PA 17701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 146 clinicians in this Medicare group
NPI 1639114689 (570) 326-8457
Ultracare Anesthesia Partners LLC
95 mi
Anesthesiology
7 N CHRISTOPHER COLUMBUS BLVD STE 400
Philadelphia, PA 19106
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 103 clinicians in this Medicare group
NPI 1407236110 (844) 448-5872

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

Hospital Affiliations CMS Care Compare 2

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17101 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.05
Promoting Interoperability99
Improvement Activities40
Cost58.7

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.

JOSEPH ELI BENAKNIN D.O.
Emergency Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5908
DAVID BITTNER METZGER MD
Family Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 231-8772
MRS. HOLLY ANN MALEY CRNA
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5118
DOUGLAS JOHNSON CRNA
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5118
QUAN TRAN M.D.
Internal Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 231-8772
SHOUK MANSOUR RD, CDCES
Dietitian, Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3131
THERESA NGUYEN PHARMD
Student in an Organized Health Care Education/Training Program
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3338
JONELLE R DERK CRNP
Nurse Practitioner (Family)
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3380

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 Alex Sullivan's NPI number?

The NPI number for Alex Sullivan is 1275113334. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Alex Sullivan located?

Alex Sullivan practices at 111 S Front St, Harrisburg, PA 17101. The listed phone number is (717) 782-3282.

What is Alex Sullivan's specialty?

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

Is Alex Sullivan enrolled in Medicare?

Yes. Alex 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 Alex Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Sullivan reassigns Medicare benefits to 5 organizations: Upmc Pinnacle Anesthesia Services, LLC (Harrisburg, PA), Penn State Health Medical Group, LLC (Lemoyne, PA), Capital Anesthesia LLC (Camp Hill, PA), Susquehanna Physician Services (Williamsport, PA) and Ultracare Anesthesia Partners LLC (Philadelphia, PA). 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 Alex Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alex Sullivan affiliated with any hospitals?

According to CMS data, Alex Sullivan is affiliated with Penn State Health Holy Spirit Medical Center and Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Alex Sullivan was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.