KATHLEEN SULLIVAN RN
NPI 1285057687
Nurse Practitioner - Psychiatric/Mental Health in Clearwater, FL
About Kathleen Sullivan Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN SULLIVAN RN (NPI 1285057687) is an individual psychiatric/mental health provider in Clearwater, Florida, licensed in Florida (APRN11007033) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
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 and accepts Medicare assignment
Kathleen Sullivan Rn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kathleen Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bradenton, FL 34209
- Reassigned Medicare billing, Florida enrollment
- 2 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Florida enrollment
- 3,079 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33763 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.
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 Kathleen Sullivan's NPI number?
The NPI number for Kathleen Sullivan is 1285057687. It was assigned to this individual provider in the NPPES registry on January 22, 2014.
Where is Kathleen Sullivan located?
Kathleen Sullivan practices at 2380 Timbercrest Cir W, Clearwater, FL 33763. The listed phone number is (727) 799-7828.
What is Kathleen Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kathleen Sullivan enrolled in Medicare?
Yes. Kathleen 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 Kathleen Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Sullivan reassigns Medicare benefits to 2 organizations: Dr Danuta B Fabisiak PA (Bradenton, FL) and Grow Healthcare Group PA (Miami, 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 Kathleen 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 Kathleen Sullivan was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kathleen Sullivan, RN · NPI 1285057687
Psychiatric/Mental Health physician in Clearwater, Florida. Individual provider, active in the CMS NPPES registry since January 22, 2014.
## Identity
- **NPI:** 1285057687 (Entity type: Individual)
- **Enumerated:** January 22, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN11007033 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2380 TIMBERCREST CIR W, Clearwater, FL 33763-1624
- **Phone:** (727) 799-7828 · **Fax:** (727) 799-1680
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dr Danuta B Fabisiak PA (NPI 1144567868, Bradenton, FL); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1285057687) · Data from the CMS NPPES public registry.