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MS. PAMELA SUE SULLIVAN GNP
NPI 1336267699
Nurse Practitioner - Gerontology in Rancho Mirage, CA

Active since March 26, 2007PECOS Enrolled
40055 BOB HOPE DR STE B, RANCHO MIRAGE, CA 92270(760) 202-3946(760) 770-4392 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Nov 8, 2017, Jul 31, 2017 and 1 more (4 updates tracked since 2017).

About Ms. Pamela Sue Sullivan Gnp NPPES

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

MS. PAMELA SUE SULLIVAN GNP (NPI 1336267699) is an individual gerontology provider in Rancho Mirage, California, licensed in California (12764) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336267699
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. PAMELA SUE SULLIVANCredential: GNP
Location Address40055 BOB HOPE DR STE BRancho Mirage, CA 92270-3940
Mailing Address2160 Colonial BlvdFort Myers, FL 33907-1410 · (239) 931-7342 · Fax (239) 931-7385
Phone(760) 202-3946
Fax(760) 770-4392
Sole ProprietorYes
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1336267699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · 12764
Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License 262478 (CA)
40055 BOB HOPE DR STE B, Rancho Mirage, CA 92270
Open in Google Maps ↗

Other Identifiers 2

Other1409819CA · Cigna
Other4984336CA · Aetna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Pamela Sue Sullivan Gnp 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.

Medicare Billing Reassignment

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

Paragon Chico Medical Group, Inc
511 mi
Radiation Oncology
1700 ESPLANADE
Chico, CA 95926
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group
NPI 1528527181 (813) 385-6847

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 92270 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 Pamela Sullivan's NPI number?

The NPI number for Pamela Sullivan is 1336267699. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Pamela Sullivan located?

Pamela Sullivan practices at 40055 Bob Hope Dr Ste B, Rancho Mirage, CA 92270. The listed phone number is (760) 202-3946.

What is Pamela Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Pamela Sullivan enrolled in Medicare?

Yes. Pamela Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pamela Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Sullivan reassigns Medicare benefits to Paragon Chico Medical Group, Inc (Chico, CA). 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 Pamela Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pamela Sullivan was last updated on July 21, 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.