MRS. KRISTINE SULLIVAN NP
NPI 1336799899
Nurse Practitioner in Ithaca, NY
About Mrs. Kristine Sullivan Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KRISTINE SULLIVAN NP (NPI 1336799899) is an individual nurse practitioner in Ithaca, New York, licensed in New York (345036) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Mrs. Kristine 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.
Medicare Billing Reassignments
7Medicare enrollment records show Kristine Sullivan reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ithaca, NY 14850
- Reassigned Medicare billing, New York enrollment
- 328 clinicians in this Medicare group
Geneva, NY 14456
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Western New York Medical Practice PC
- 1,030 clinicians in this Medicare group
Clifton Springs, NY 14432
- Reassigned Medicare billing, New York enrollment
- 872 clinicians in this Medicare group
Newark, NY 14513
- Reassigned Medicare billing, New York enrollment
- 679 clinicians in this Medicare group
Sodus, NY 14551
- Reassigned Medicare billing, New York enrollment
- 2,285 clinicians in this Medicare group
Rochester, NY 14617
- Reassigned Medicare billing, New York enrollment
- 1,442 clinicians in this Medicare group
Batavia, NY 14020
- Reassigned Medicare billing, New York enrollment
- 782 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cayuga Medical Center At Ithaca
Acute Care Hospitals · Ithaca, NYSchuyler Hospital
Critical Access Hospitals · Montour Falls, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ITHACA, NY 14850
ITHACA, NY 14850
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 Kristine Sullivan's NPI number?
The NPI number for Kristine Sullivan is 1336799899. It was assigned to this individual provider in the NPPES registry on September 17, 2019.
Where is Kristine Sullivan located?
Kristine Sullivan practices at 101 Dates Dr, Ithaca, NY 14850. The listed phone number is (607) 274-4011.
What is Kristine Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kristine Sullivan enrolled in Medicare?
Yes. Kristine 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.
Which organizations bill Medicare for Kristine Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Sullivan reassigns Medicare benefits to 7 organizations: Cayuga Medical Associates, PC (Ithaca, NY), Western New York Medical Practice, P.C. (Geneva, NY), Clifton Springs Sanitarium Co (Clifton Springs, NY), Newark Wayne Community Hospital (Newark, NY), Rochester General Hospital (Sodus, NY) and 2 more organizations, listed in the Medicare section above. Each 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 Kristine Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kristine Sullivan affiliated with any hospitals?
According to CMS data, Kristine Sullivan is affiliated with Cayuga Medical Center At Ithaca and Schuyler Hospital.
When was this NPI record last updated?
The NPPES record for Kristine Sullivan was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Kristine Sullivan, NP · NPI 1336799899
Nurse Practitioner physician in Ithaca, New York. Individual provider, active in the CMS NPPES registry since September 17, 2019.
## Identity
- **NPI:** 1336799899 (Entity type: Individual)
- **Enumerated:** September 17, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 345036 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 DATES DR, Ithaca, NY 14850-1342
- **Phone:** (607) 274-4011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Cayuga Medical Associates, PC (NPI 1679525455, Ithaca, NY); Western New York Medical Practice, P.C. (NPI 1326446485, Geneva, NY); Clifton Springs Sanitarium Co (NPI 1366505463, Clifton Springs, NY); Newark Wayne Community Hospital (NPI 1346369212, Newark, NY); Rochester General Hospital (NPI 1821163718, Sodus, NY); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1336799899) · Data from the CMS NPPES public registry.