KATIE HALLERAN SULLIVAN NP
NPI 1336784628
Nurse Practitioner in Spokane, WA

Q: What is Katie Sullivan's NPI number?

The NPI number for Katie Sullivan is 1336784628. It was assigned to this individual provider in the NPPES registry on November 11, 2019. The provider is also known as Katherine Halleran Sullivan.

Q: What is Katie Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Katie Sullivan was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since November 11, 2019PECOS EnrolledAccepts Medicare Assignment

1001 W 2ND AVE, SPOKANE, WA 99201(509) 444-8200(509) 444-7806 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2025, Jul 27, 2020, Nov 11, 2019 (3 updates tracked since 2019).

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About Katie Halleran Sullivan Np NPPES

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

KATIE HALLERAN SULLIVAN NP (NPI 1336784628) is an individual nurse practitioner in Spokane, Washington, licensed in Washington (AP60997775) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336784628

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATIE HALLERAN SULLIVANCredential: NP

Location Address1001 W 2ND AVESpokane, WA 99201-4503

Mailing Address611 N Iron Bridge WaySpokane, WA 99202-4932 · (509) 444-8888

Phone(509) 444-8200

Fax(509) 444-7806

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 11, 2019

Last NPPES UpdateFebruary 17, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2025

✔ NPI 1336784628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP60997775

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1001 W 2ND AVE, Spokane, WA 99201

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Other Names 1

Other Name (5)Katherine Halleran Sullivan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Katie Halleran Sullivan Np 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 ID5395166466

PECOS Enrollment IDI20200527001678

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 99201 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

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers11 claims11 services$20.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ANNA DENTON FNP-BC

Nurse Practitioner (Family)