KELLI ANNE-MARIE SULLIVAN
NPI 1386408656
Nurse Practitioner - Family in Shawnee, OK
About Kelli Anne-marie Sullivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI ANNE-MARIE SULLIVAN (NPI 1386408656) is an individual family provider in Shawnee, Oklahoma, licensed in Oklahoma (216574) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Kelli Anne-marie Sullivan 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 Reassignment
Medicare enrollment records show Kelli Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oklahoma City, OK 73134
- Reassigned Medicare billing, Oklahoma enrollment
- 9 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.
Norman Regional
Acute Care Hospitals · Norman, OKMercy Hospital Oklahoma City, Inc
Acute Care Hospitals · Oklahoma City, OKMercy Hospital Ada
Acute Care Hospitals · Ada, OKSsm Health St Anthony Hospital - Shawnee
Acute Care Hospitals · Shawnee, OKHoldenville General Hospital
Critical Access Hospitals · Holdenville, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74804 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHAWNEE, OK 74804
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 Kelli Sullivan's NPI number?
The NPI number for Kelli Sullivan is 1386408656. It was assigned to this individual provider in the NPPES registry on February 7, 2024.
Where is Kelli Sullivan located?
Kelli Sullivan practices at 4409 N Kickapoo Ave, Shawnee, OK 74804. The listed phone number is (405) 242-4100.
What is Kelli Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelli Sullivan enrolled in Medicare?
Yes. Kelli 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 organization bills Medicare for Kelli Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Sullivan reassigns Medicare benefits to Oklahoma Pain Management PLLC (Oklahoma City, OK). The 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 Kelli Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelli Sullivan accept?
Health plans from Mending Health and UnitedHealthcare list Kelli Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kelli Sullivan affiliated with any hospitals?
According to CMS data, Kelli Sullivan is affiliated with Norman Regional, Mercy Hospital Oklahoma City, Inc, Mercy Hospital Ada, Ssm Health St Anthony Hospital - Shawnee and Holdenville General Hospital.
When was this NPI record last updated?
The NPPES record for Kelli Sullivan was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kelli Anne-Marie Sullivan · NPI 1386408656
Family physician in Shawnee, Oklahoma. Individual provider, active in the CMS NPPES registry since February 7, 2024.
## Identity
- **NPI:** 1386408656 (Entity type: Individual)
- **Enumerated:** February 7, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 216574 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4409 N KICKAPOO AVE, Shawnee, OK 74804-1206
- **Phone:** (405) 242-4100
## 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:** Oklahoma Pain Management PLLC (NPI 1679760912, Oklahoma City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1386408656) · Data from the CMS NPPES public registry.