SABRA SULLIVAN PMHNP-BC
NPI 1366875437
Nurse Practitioner - Psychiatric/Mental Health in West Springfield, MA

Active since August 13, 2013PECOS EnrolledAccepts Medicare Assignment
103 MYRON ST, SUITE A, WEST SPRINGFIELD, MA 01089(413) 592-1980(413) 439-0100 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sabra Sullivan Pmhnp-bc NPPES

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

SABRA SULLIVAN PMHNP-BC (NPI 1366875437) is an individual psychiatric/mental health provider in West Springfield, Massachusetts, licensed in Massachusetts (RN284172) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1366875437
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSABRA SULLIVANCredential: PMHNP-BC
Location Address103 MYRON ST, SUITE AWest Springfield, MA 01089-1598
Mailing Address90 Undine Rd, Apt. 1Brighton, MA 02135-3812 · (508) 951-6632
Fax(413) 439-0100
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 13, 2013
✔ NPI 1366875437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN284172
103 MYRON ST, West Springfield, MA 01089

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sabra Sullivan Pmhnp-bc 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.

PECOS PAC ID3476788894
PECOS Enrollment IDI20131021000142
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sabra Sullivan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
115 MILL ST
Belmont, MA 02478
  • Reassigned Medicare billing, Massachusetts enrollment
  • 422 clinicians in this Medicare group
General Acute Care Hospital
330 BROOKLINE AVE, ST 207
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,477 clinicians in this Medicare group
Psychiatry
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 118 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01089 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

Social Worker (Clinical)
103 MYRON ST, SUITE 2
WEST SPRINGFIELD, MA 01089
Nurse Practitioner
103 MYRON ST, SUITE A
WEST SPRINGFIELD, MA 01089
Nurse Practitioner
103 MYRON ST, SUITE A
WEST SPRINGFIELD, MA 01089
Social Worker (Clinical)
103 MYRON ST, SUITE A
WEST SPRINGFIELD, MA 01089
Social Worker (Clinical)
103 MYRON ST, SUITE A
WEST SPRINGFIELD, MA 01089
Social Worker (Clinical)
103 MYRON ST, SUITE A
WEST SPRINGFIELD, MA 01089
Psychiatry & Neurology (Psychiatry)
103 MYRON ST, SUITE A
WEST SPRINGFIELD, MA 01089
Social Worker (Clinical)
103 MYRON ST, SUITE A
WEST SPRINGFIELD, MA 01089

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 Sabra Sullivan's NPI number?

The NPI number for Sabra Sullivan is 1366875437. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Where is Sabra Sullivan located?

Sabra Sullivan practices at 103 Myron St Suite A, West Springfield, MA 01089. The listed phone number is (413) 592-1980.

What is Sabra Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sabra Sullivan enrolled in Medicare?

Yes. Sabra 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.

Which organizations bill Medicare for Sabra Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sabra Sullivan reassigns Medicare benefits to 3 organizations: The Mclean Hospital Corporation (Belmont, MA), Beth Israel Deaconess Medical Center, Inc. (Boston, MA) and Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sabra Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sabra Sullivan was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.