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MRS. KRISTINE SULLIVAN NP
NPI 1336799899
Nurse Practitioner in Ithaca, NY

Active since September 17, 2019PECOS EnrolledAccepts Medicare Assignment
95.21/100
CMS Quality Rating
101 DATES DR, ITHACA, NY 14850(607) 274-4011 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 21, 2021, Oct 31, 2019, Sep 17, 2019 (3 updates tracked since 2019).

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

NPI1336799899
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KRISTINE SULLIVANCredential: NP
Location Address101 DATES DRIthaca, NY 14850-1342
Mailing Address101 Dates DrIthaca, NY 14850-1342
Phone(607) 274-4011
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 17, 2019
Last NPPES UpdateSeptember 21, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2021
✔ NPI 1336799899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 345036
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F345036 (NY)
101 DATES DR, Ithaca, NY 14850
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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

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.

PECOS PAC ID8022440205
PECOS Enrollment IDI20191108000269
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.

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.

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.
206 services142 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330307
Location101 Dates DriveIthaca, NY 14850 · Tompkins County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

95.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.69
Promoting Interoperability100
Improvement Activities40

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.

PAUL EMERSON JONES PAC
Physician Assistant
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
DR. KEITH GARRETT LAMBERT M.D.
Emergency Medicine
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
DR. ANTHONY SANITO MD
Anesthesiology (Pain Medicine)
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
KAREN L HENRY OTR/L
Occupational Therapist
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4555
NO NAME GIVEN ERUM M.D
Psychiatry & Neurology (Psychiatry)
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
SUZANNE DOZORETZ NP, RNFA
Nurse Practitioner (Family)
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
DR. GRAHAM JAMES GORSLINE DNP CRNA
Nurse Anesthetist, Certified Registered
101 DATES DR
ITHACA, NY 14850
Tompkins County (762) 408-3230
PARKAVI KALAISELVAN MD
Student in an Organized Health Care Education/Training Program
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 252-3457

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.

Is Kristine Sullivan affiliated with any hospitals?

According to CMS data, Kristine Sullivan is affiliated with Cayuga Medical Center At Ithaca.

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 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.