MOLLY AMBLER SULLIVAN NP
NPI 1366980815
Nurse Practitioner - Acute Care in Washington, DC

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

Active since February 05, 2017PECOS Enrolled

110 IRVING ST NW, WASHINGTON, DC 20010(202) 877-3381 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 30, 2018, Feb 5, 2017 (2 updates tracked since 2017).

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About Molly Ambler Sullivan Np NPPES

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

MOLLY AMBLER SULLIVAN NP (NPI 1366980815) is an individual acute care provider in Washington, District Of Columbia, licensed in District Of Columbia (RN1019709) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366980815

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMOLLY AMBLER SULLIVANCredential: NP

Location Address110 IRVING ST NWWashington, DC 20010-3017

Mailing Address309 Rock Creek Church Rd NwWashington, DC 20011-6003 · (303) 263-5196

Phone(202) 877-3381

Sole ProprietorYes

Enumeration DateFebruary 5, 2017

Last NPPES UpdateOctober 30, 20182 updates tracked since enumeration

✔ NPI 1366980815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in DC · RN1019709

110 IRVING ST NW, Washington, DC 20010

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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)

Molly Ambler Sullivan Np 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 20010 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.