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HANA WON SULLIVAN AGNP-C
NPI 1356012504
Nurse Practitioner - Adult Health in Painted Post, NY

Active since September 27, 2021PECOS Enrolled
82.9/100
CMS Quality Rating
240 S HAMILTON ST STE 201, PAINTED POST, NY 14870(607) 542-9507(701) 248-1616 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2025, Jul 2, 2025, May 14, 2025 and 3 more (6 updates tracked since 2021).

About Hana Won Sullivan Agnp-c NPPES

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

HANA WON SULLIVAN AGNP-C (NPI 1356012504) is an individual adult health provider in Painted Post, New York, licensed in New York (310339) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356012504
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameHANA WON SULLIVANCredential: AGNP-C
Location Address240 S HAMILTON ST STE 201Painted Post, NY 14870-9791
Mailing Address240 S Hamilton St Ste 201Painted Post, NY 14870-9791 · (607) 542-9507 · Fax (701) 248-1616
Phone(607) 542-9507
Fax(701) 248-1616
Sole ProprietorYes
Enumeration DateSeptember 27, 2021
Last NPPES UpdateSeptember 4, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1356012504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 310339
240 S HAMILTON ST STE 201, Painted Post, NY 14870
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hana Won Sullivan Agnp-c 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.

Areas of Expertise CMS Part B claims

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
32 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14870 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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

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 Hana Sullivan's NPI number?

The NPI number for Hana Sullivan is 1356012504. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Hana Sullivan located?

Hana Sullivan practices at 240 S Hamilton St Ste 201, Painted Post, NY 14870. The listed phone number is (607) 542-9507.

What is Hana Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Hana Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Hana Sullivan was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.