KATHLEEN MARIE SULLIVAN NP
NPI 1376811828
Nurse Practitioner - Adult Health in Boston, MA
About Kathleen Marie Sullivan Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN MARIE SULLIVAN NP (NPI 1376811828) is an individual adult health provider in Boston, Massachusetts, licensed in Massachusetts (RN2259252) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Kathleen Marie Sullivan Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kathleen Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 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.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cooley Dickinson Hospital Inc,the
Acute Care Hospitals · Northampton, MANorth Shore Medical Center -
Acute Care Hospitals · Salem, MAMassachusetts General Hospital
Acute Care Hospitals · Boston, MANewton-Wellesley Hospital
Acute Care Hospitals · Newton, MABrigham And Women's Hospital
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02118 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.
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
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 Kathleen Sullivan's NPI number?
The NPI number for Kathleen Sullivan is 1376811828. It was assigned to this individual provider in the NPPES registry on December 12, 2011.
Where is Kathleen Sullivan located?
Kathleen Sullivan practices at 830 Harrison Ave Moakley, 2nd Floor, Boston, MA 02118. The listed phone number is (617) 638-6525.
What is Kathleen Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kathleen Sullivan enrolled in Medicare?
Yes. Kathleen 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 Kathleen Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Sullivan reassigns Medicare benefits to 2 organizations: The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization 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 Kathleen Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kathleen Sullivan affiliated with any hospitals?
According to CMS data, Kathleen Sullivan is affiliated with Cooley Dickinson Hospital Inc,the, North Shore Medical Center -, Massachusetts General Hospital, Newton-Wellesley Hospital and Brigham And Women's Hospital.
When was this NPI record last updated?
The NPPES record for Kathleen Sullivan was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kathleen Marie Sullivan, NP · NPI 1376811828
Adult Health physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since December 12, 2011.
## Identity
- **NPI:** 1376811828 (Entity type: Individual)
- **Enumerated:** December 12, 2011
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** RN2259252 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 830 HARRISON AVE, MOAKLEY, 2ND FLOOR, Boston, MA 02118-2905
- **Phone:** (617) 638-6525 · **Fax:** (617) 638-7448
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The General Hospital Corporation (NPI 1023049236, Boston, MA); Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** April 28, 2014
- **Other identifiers:** Medicaid 110091798A (MA); Medicare PIN 00255292 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376811828) · Data from the CMS NPPES public registry.