JACQUELYN SULLIVAN NP
NPI 1306518477
Nurse Practitioner - Family in Ocean Springs, MS

Q: What is Jacquelyn Sullivan's NPI number?

The NPI number for Jacquelyn Sullivan is 1306518477. It was assigned to this individual provider in the NPPES registry on September 28, 2021. The provider is also known as Jacquelyn Lee Richardson.

Q: What is Jacquelyn Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 28, 2021PECOS Enrolled

1270 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564(228) 875-3033(228) 875-3989 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2021, Sep 28, 2021 (2 updates tracked since 2021).

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About Jacquelyn Sullivan Np NPPES

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

JACQUELYN SULLIVAN NP (NPI 1306518477) is an individual family provider in Ocean Springs, Mississippi, licensed in Mississippi (904843) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306518477

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELYN SULLIVANCredential: NP

Location Address1270 OCEAN SPRINGS RDOcean Springs, MS 39564-3409

Mailing Address2101 Highway 90Gautier, MS 39553-5340 · (228) 497-7576 · Fax (228) 497-8869

Phone(228) 875-3033

Fax(228) 875-3989

Sole ProprietorNo

Enumeration DateSeptember 28, 2021

Last NPPES UpdateNovember 12, 20212 updates tracked since enumeration

NPPES CertifiedNovember 12, 2021

✔ NPI 1306518477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 904843

1270 OCEAN SPRINGS RD, Ocean Springs, MS 39564

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Other Names 1

Former Name (1)Jacquelyn Lee Richardson

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Sullivan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

61 services61 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.

53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39564 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA MEJIAS SINOPOLI PA-C

Physician Assistant (Medical)