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KATHLEEN MARIE SULLIVAN NP
NPI 1376811828
Nurse Practitioner - Adult Health in Boston, MA

Active since December 12, 2011PECOS EnrolledAccepts Medicare Assignment
830 HARRISON AVE, MOAKLEY, 2ND FLOOR, BOSTON, MA 02118(617) 638-6525(617) 638-7448 Get Directions Write a Review

NPPES record last updated: April 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1376811828
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHLEEN MARIE SULLIVANCredential: NP
Location Address830 HARRISON AVE, MOAKLEY, 2ND FLOORBoston, MA 02118-2905
Mailing Address720 Harrison Ave, Dob 503Boston, MA 02118
Phone(617) 638-6525
Fax(617) 638-7448
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 12, 2011
Last NPPES UpdateApril 28, 2014
✔ NPI 1376811828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · RN2259252
830 HARRISON AVE, Boston, MA 02118
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Other Identifiers 2

Medicaid110091798AMA
Medicare PIN00255292MA

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2668631649
PECOS Enrollment IDI20120312000014
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services75 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
15 services12 patients

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, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician 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.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

DR. MAUREEN T KAVANAH M.D.
Surgery (Surgical Oncology)
830 HARRISON AVE, MOAKLEY SUITE 1200
BOSTON, MA 02118
Suffolk County (617) 638-8655
MR. DAVID M. TAUSEVICH CRNA, APRN, MS, CCRN
Nurse Anesthetist, Certified Registered
830 HARRISON AVE, SUITE 3500
BOSTON, MA 02118
Suffolk County (617) 638-8776
KARIMOT A MAKINDE FNP-C
Nurse Practitioner (Family)
830 HARRISON AVE, SUITE 1200, MOAKLEY BUILDING
BOSTON, MA 02118
Suffolk County (617) 414-7990
DR. HIROKO KUNITAKE MD
Colon & Rectal Surgery
830 HARRISON AVE, SUITE 2100
BOSTON, MA 02118
Suffolk County (617) 414-8054
DR. NAOMI KO M.D.
Internal Medicine (Medical Oncology)
830 HARRISON AVE, MOAKLEY, 3RD FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-6428
DR. ANDREEA M NEGROIU M.D.
Internal Medicine (Medical Oncology)
830 HARRISON AVE, MOAKLEY, 3RD FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-6428
DR. DUC BA PHAN AUD
Audiologist
830 HARRISON AVE
BOSTON, MA 02118
Suffolk County (617) 638-8124
CHRISTINE ENGLE
Nurse Practitioner (Adult Health)
830 HARRISON AVE, MOAKLEY 3RD FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-6428

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.

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.