SHEA MARIE SULLIVAN
NPI 1356847800
Obstetrics & Gynecology in Phoenix, AZ

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since April 03, 2018PECOS Enrolled

2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5201 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 10, 2024, Nov 21, 2022 (2 updates tracked since 2022).

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About Shea Marie Sullivan NPPES

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

SHEA MARIE SULLIVAN (NPI 1356847800) is an individual obstetrics & gynecology provider in Phoenix, Arizona, licensed in California (A175383) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356847800

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameSHEA MARIE SULLIVAN

Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973

Mailing Address2601 E Roosevelt StPhoenix, AZ 85008-4973

Phone(602) 344-5201

Sole ProprietorNo

Enumeration DateApril 3, 2018

Last NPPES UpdateMay 10, 20242 updates tracked since enumeration

NPPES CertifiedMay 10, 2024

✔ NPI 1356847800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A175383

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2601 E ROOSEVELT ST, Phoenix, AZ 85008

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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 (PECOS)

Shea Marie Sullivan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85008 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.