STEPHANIE SCHROOT SULLIVAN FNP-BC
NPI 1306985783
Nurse Practitioner - Family in Londonderry, NH

Q: What is Stephanie Sullivan's NPI number?

The NPI number for Stephanie Sullivan is 1306985783. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Stephanie Sullivan's specialty?

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

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment

42 NASHUA ROAD, LONDONDERRY, NH 03053(603) 413-6800(603) 413-6803 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 20, 2023, Mar 11, 2021 (2 updates tracked since 2021).

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About Stephanie Schroot Sullivan Fnp-bc NPPES

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

STEPHANIE SCHROOT SULLIVAN FNP-BC (NPI 1306985783) is an individual family provider in Londonderry, New Hampshire, licensed in New Hampshire (080033-23) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1306985783

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHANIE SCHROOT SULLIVANCredential: FNP-BC

Location Address42 NASHUA ROADLondonderry, NH 03053

Mailing Address360 Us Highway 1 Byp Unit 102Portsmouth, NH 03801-7105 · (603) 410-6700 · Fax (603) 319-8308

Phone(603) 413-6800

Fax(603) 413-6803

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2024

✔ NPI 1306985783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LF0000X

License✔ Licensed in NH · 080033-23

Also ListedNurse PractitionerTaxonomy 363L00000X · License 080033-23 (NH), 229133 (MA)

Also ListedNurse Practitioner · SchoolTaxonomy 363LS0200X · License 229133 (MA)

42 NASHUA ROAD, Londonderry, NH 03053

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Secondary Practice Locations 3

Location 160 Middle RdDover, NH 03820-4146 · Phone (781) 867-2050

Location 250 Sterling WayDover, NH 03820-4770 · Phone (603) 742-3995

Location 341 Mall RdBurlington, MA 01805-0001 · Phone (781) 744-5100

Other Identifiers 2

Medicaid110085815AMA

Medicaid3126816NH

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

Stephanie Schroot Sullivan Fnp-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.

PECOS PAC ID8224052840

PECOS Enrollment IDI20210427002942

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 Reassignments

Medicare enrollment records show Stephanie Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Convenientmd - Ffs Uc LLC

Same address

Urgent Care

42 NASHUA RD
Londonderry, NH 03053

Reassigned Medicare billing, New Hampshire enrollment
108 clinicians in this Medicare group

NPI 1164114260 (603) 413-6800

Vantage Healthcare LLC

49 mi

Internal Medicine

C/O WORKPLACE@45, 45 DAN RD
Canton, MA 02021

Reassigned Medicare billing, New Hampshire enrollment
30 clinicians in this Medicare group

NPI 1366903551 (781) 867-2050

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 9

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 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.

72 services70 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

28 services28 patients

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.

27 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03053 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

$89.14 typical visit price

range $57.75 – $174.26

Typical copayment $22.28 (range $14.43 – $43.56)

Most-billed visit code 99203

Established Patient

$101.54 typical visit price

range $18.70 – $142.15

Typical copayment $25.38 (range $4.67 – $35.53)

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 7

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

ROBERT MASSEY PA-C

Physician Assistant (Medical)