JAMIE SULLIVAN APRN
NPI 1366052169
Nurse Practitioner in Tequesta, FL

Q: What is Jamie Sullivan's NPI number?

The NPI number for Jamie Sullivan is 1366052169. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Q: What is Jamie Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: Is Jamie Sullivan enrolled in Medicare?

No. Jamie Sullivan has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jamie Sullivan was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 06, 2020Opted out of Medicare · through Jul 1, 2027

169 TEQUESTA DR STE 24E, TEQUESTA, FL 33469(561) 628-0111 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2023, May 10, 2023, May 1, 2023 and 1 more (4 updates tracked since 2020).

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About Jamie Sullivan Aprn NPPES

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

JAMIE SULLIVAN APRN (NPI 1366052169) is an individual nurse practitioner in Tequesta, Florida, licensed in Florida (11007808) and active in the NPI registry since August 2020. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366052169

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJAMIE SULLIVANCredential: APRN

Location Address169 TEQUESTA DR STE 24ETequesta, FL 33469-4700

Mailing Address169 Tequesta Dr Ste 24eTequesta, FL 33469-4700 · (561) 628-0111

Phone(561) 628-0111

Sole ProprietorNo

Enumeration DateAugust 6, 2020

Last NPPES UpdateMay 17, 20234 updates tracked since enumeration

NPPES CertifiedMay 17, 2023

✔ NPI 1366052169 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 FL · 11007808

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 APRN11007808 (FL)

169 TEQUESTA DR STE 24E, Tequesta, FL 33469

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jamie Sullivan Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33469 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY LAVELLE

Occupational Therapist (Pediatrics)