CARLY ELIZABETH SULLIVAN PA-C
NPI 1346124591
Physician Assistant - Medical in Brockton, MA
About Carly Elizabeth Sullivan Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY ELIZABETH SULLIVAN PA-C (NPI 1346124591) is an individual medical provider in Brockton, Massachusetts and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Carly Elizabeth Sullivan Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Signature Healthcare Brockton Hospital
Acute Care Hospitals · Brockton, MAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROCKTON, MA 02302
BROCKTON, MA 02302
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 Carly Sullivan's NPI number?
The NPI number for Carly Sullivan is 1346124591. It was assigned to this individual provider in the NPPES registry on August 1, 2025.
Where is Carly Sullivan located?
Carly Sullivan practices at 680 Centre St, Brockton, MA 02302. The listed phone number is (508) 941-7000.
What is Carly Sullivan's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Carly Sullivan enrolled in Medicare?
Yes. Carly 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 Carly Sullivan affiliated with any hospitals?
According to CMS data, Carly Sullivan is affiliated with Signature Healthcare Brockton Hospital.
When was this NPI record last updated?
The NPPES record for Carly Sullivan was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Carly Elizabeth Sullivan, PA-C · NPI 1346124591
Medical physician in Brockton, Massachusetts. Individual provider, active in the CMS NPPES registry since August 1, 2025.
## Identity
- **NPI:** 1346124591 (Entity type: Individual)
- **Enumerated:** August 1, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 680 CENTRE ST, Brockton, MA 02302-3395
- **Phone:** (508) 941-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1346124591) · Data from the CMS NPPES public registry.