SUSAN L. SULLIVAN MD
NPI 1326126814
Dermatology in Puyallup, WA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371(253) 446-3903(253) 840-6514 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan L. Sullivan Md NPPES

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

SUSAN L. SULLIVAN MD (NPI 1326126814) is an individual dermatology provider in Puyallup, Washington, licensed in Washington (MD00027715) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1986).

NPPES Registry Identity

NPI1326126814
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSUSAN L. SULLIVANCredential: MD
Location Address1703 S MERIDIAN STE 101Puyallup, WA 98371-7590
Mailing Address1703 S Meridian Ste 101Puyallup, WA 98371-7590 · (253) 446-3903 · Fax (253) 840-6514
Fax(253) 840-6514
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1986
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 11, 2012
NPI 1326126814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in WA · MD00027715 Licensed in CA · G87622
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1703 S MERIDIAN STE 101, Puyallup, WA 98371

Accepted Insurance

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

Susan L. Sullivan Md 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 ID2163449281
PECOS Enrollment IDI20051028000114
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98371 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 20

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

Physician Assistant
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Optometrist
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Physician Assistant
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Nurse Practitioner (Family)
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Nurse Anesthetist, Certified Registered
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Ophthalmology
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Optometrist
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Pathology (Anatomic Pathology & Clinical Pathology)
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371

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 Susan Sullivan's NPI number?

The NPI number for Susan Sullivan is 1326126814. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Susan Sullivan located?

Susan Sullivan practices at 1703 S Meridian Ste 101, Puyallup, WA 98371. The listed phone number is (253) 446-3903.

What is Susan Sullivan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Susan Sullivan enrolled in Medicare?

Yes. Susan 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.

What insurance does Susan Sullivan accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Susan 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 Susan Sullivan was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.