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KATHLEEN SULLIVAN RN
NPI 1285057687
Nurse Practitioner - Psychiatric/Mental Health in Clearwater, FL

Active since January 22, 2014PECOS EnrolledAccepts Medicare Assignment
70.06/100
CMS Quality Rating
2380 TIMBERCREST CIR W, CLEARWATER, FL 33763(727) 799-7828(727) 799-1680 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 16, 2022, Dec 28, 2021, Aug 22, 2020 (3 updates tracked since 2020).

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

NPI1285057687
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHLEEN SULLIVANCredential: RN
Location Address2380 TIMBERCREST CIR WClearwater, FL 33763-1624
Mailing Address2110 58th St WBradenton, FL 34209-5660 · (727) 799-7828 · Fax (727) 799-1680
Phone(727) 799-7828
Fax(727) 799-1680
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 22, 2014
Last NPPES UpdateFebruary 16, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1285057687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11007033
2380 TIMBERCREST CIR W, Clearwater, FL 33763
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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

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.

PECOS PAC ID6103218284
PECOS Enrollment IDI20220122000117
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.

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
276 services57 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
273 services56 patients

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.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

70.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.38
Improvement Activities0
Cost100

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.

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.