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LAUREN SULLIVAN PMHNP
NPI 1285147850
Nurse Practitioner - Psychiatric/Mental Health in Queensbury, NY

Active since November 06, 2017PECOS EnrolledAccepts Medicare Assignment
10 STONEWALL DR, QUEENSBURY, NY 12804(617) 680-1093 Get Directions Write a Review

NPPES record last updated: June 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2021, Jun 3, 2021, Nov 6, 2017 (3 updates tracked since 2017).

About Lauren Sullivan Pmhnp NPPES

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

LAUREN SULLIVAN PMHNP (NPI 1285147850) is an individual psychiatric/mental health provider in Queensbury, New York, licensed in New York (F403519) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285147850
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAUREN SULLIVANCredential: PMHNP
Location Address10 STONEWALL DRQueensbury, NY 12804-7719
Mailing Address10 Stonewall DrQueensbury, NY 12804-7719 · (617) 680-1093
Phone(617) 680-1093
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 6, 2017
Last NPPES UpdateJune 13, 20213 updates tracked since enumeration
NPPES CertifiedJune 13, 2021
✔ NPI 1285147850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F403519
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 732271 (NY)
10 STONEWALL DR, Queensbury, NY 12804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

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

Lauren Sullivan Pmhnp 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 ID5890190094
PECOS Enrollment IDI20210826001820
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.

Medicare Billing Reassignment

Medicare enrollment records show Lauren Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavioral Health Services North, Inc.
1.3 mi
Mental Health (Including Community Mental Health Center)
25 WILLOWBROOK RD
Queensbury, NY 12804
  • Reassigned Medicare billing, New York enrollment
  • 107 clinicians in this Medicare group
NPI 1447005541 (518) 563-8206

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 12804 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Lauren Sullivan's NPI number?

The NPI number for Lauren Sullivan is 1285147850. It was assigned to this individual provider in the NPPES registry on November 6, 2017.

Where is Lauren Sullivan located?

Lauren Sullivan practices at 10 Stonewall Dr, Queensbury, NY 12804. The listed phone number is (617) 680-1093.

What is Lauren Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lauren Sullivan enrolled in Medicare?

Yes. Lauren 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 organization bills Medicare for Lauren Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Sullivan reassigns Medicare benefits to Behavioral Health Services North, Inc. (Queensbury, NY). 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 Lauren Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Sullivan accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Lauren Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lauren Sullivan was last updated on June 13, 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.