MRS. LYNETTE M SULLIVAN
NPI 1275612244
Nurse Practitioner - Family in Brentwood, TN
About Mrs. Lynette M Sullivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LYNETTE M SULLIVAN (NPI 1275612244) is an individual family provider in Brentwood, Tennessee, licensed in Georgia (F1006099) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Lynette M Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lynette Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elizabethtown, KY 42701
- Reassigned Medicare billing, Kentucky and Indiana enrollments
- Also billed through NPI 1386904647 (Indiana)
- 1,896 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BRENTWOOD, TN 37027
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 Lynette Sullivan's NPI number?
The NPI number for Lynette Sullivan is 1275612244. It was assigned to this individual provider in the NPPES registry on November 2, 2006.
Where is Lynette Sullivan located?
Lynette Sullivan practices at 8 Cadillac Dr, Brentwood, TN 37027. The listed phone number is (706) 717-0341.
What is Lynette Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lynette Sullivan enrolled in Medicare?
Yes. Lynette Sullivan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lynette Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lynette Sullivan reassigns Medicare benefits to Community Medical Associates (Elizabethtown, KY). The 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 Lynette Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lynette Sullivan was last updated on October 27, 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.
# Mrs. Lynette M Sullivan · NPI 1275612244
Family physician in Brentwood, Tennessee. Individual provider, active in the CMS NPPES registry since November 2, 2006.
## Identity
- **NPI:** 1275612244 (Entity type: Individual)
- **Enumerated:** November 2, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F1006099 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 8 CADILLAC DR, Brentwood, TN 37027-5087
- **Phone:** (706) 717-0341
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Medical Associates (NPI 1669245510, Elizabethtown, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1275612244) · Data from the CMS NPPES public registry.