MARISA SULLIVAN MSN, AGACNP-BC
NPI 1275991432
Nurse Practitioner - Acute Care in New York, NY
About Marisa Sullivan Msn, Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISA SULLIVAN MSN, AGACNP-BC (NPI 1275991432) is an individual acute care provider in New York, New York, licensed in New York (431368) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Marisa Sullivan Msn, Agacnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10003 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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
NEW YORK, NY 10003
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 Marisa Sullivan's NPI number?
The NPI number for Marisa Sullivan is 1275991432. It was assigned to this individual provider in the NPPES registry on February 3, 2016.
Where is Marisa Sullivan located?
Marisa Sullivan practices at 301 E 17th St, New York, NY 10003. The listed phone number is (212) 263-5230.
What is Marisa Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Marisa Sullivan enrolled in Medicare?
Yes. Marisa 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.
When was this NPI record last updated?
The NPPES record for Marisa Sullivan was last updated on October 14, 2020. 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.
# Marisa Sullivan, MSN, AGACNP-BC · NPI 1275991432
Acute Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since February 3, 2016.
## Identity
- **NPI:** 1275991432 (Entity type: Individual)
- **Enumerated:** February 3, 2016
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 431368 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 E 17TH ST, New York, NY 10003-3804
- **Phone:** (212) 263-5230
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1275991432) · Data from the CMS NPPES public registry.