MARY JANETTE SULLIVAN CRNP
NPI 1356620009
Nurse Practitioner - Family in Birmingham, AL
About Mary Janette Sullivan Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JANETTE SULLIVAN CRNP (NPI 1356620009) is an individual family provider in Birmingham, Alabama, licensed in Alabama (1-077197) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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
Mary Janette Sullivan Crnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BIRMINGHAM, AL 35209
BIRMINGHAM, AL 35209
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 Mary Sullivan's NPI number?
The NPI number for Mary Sullivan is 1356620009. It was assigned to this individual provider in the NPPES registry on August 12, 2011. The provider is also known as Mary Janette Wilmoth.
Where is Mary Sullivan located?
Mary Sullivan practices at 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209. The listed phone number is (205) 533-8902.
What is Mary Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Sullivan enrolled in Medicare?
Yes. Mary 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.
What insurance does Mary Sullivan accept?
Health plans from Blue Cross and Blue Shield of Alabama list Mary Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Sullivan was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mary Janette Sullivan, CRNP · NPI 1356620009
Family physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since August 12, 2011.
## Identity
- **NPI:** 1356620009 (Entity type: Individual)
- **Enumerated:** August 12, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-077197 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 2100 SOUTHBRIDGE PKWY STE 650, Birmingham, AL 35209-1302
- **Phone:** (205) 533-8902 · **Fax:** (855) 737-5542
## 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 2010
## Record status
- **NPPES last updated:** April 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1356620009) · Data from the CMS NPPES public registry.