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DR. CARLA ANN SULLIVAN D.C.
NPI 1386920510
Chiropractor in Moline, IL

Active since November 02, 2011Accepts Medicare Assignment
1535 47TH AVE, SUITE 5, MOLINE, IL 61265(309) 797-4203 Get Directions Write a Review

NPPES record last updated: August 8, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Carla Ann Sullivan D.c. NPPES

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

DR. CARLA ANN SULLIVAN D.C. (NPI 1386920510) is an individual chiropractor in Moline, Illinois, licensed in Illinois (038-012042) and active in the NPI registry since November 2011. She is a graduate of Palmer College Chiropractic - Davenport (2011).

NPPES Registry Identity

NPI1386920510
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. CARLA ANN SULLIVANCredential: D.C.
Location Address1535 47TH AVE, SUITE 5Moline, IL 61265-7088
Mailing Address2001 52nd Ave, Ste 1Moline, IL 61265-6368 · (309) 797-4203
Phone(309) 797-4203
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2011
Enumeration DateNovember 2, 2011
Last NPPES UpdateAugust 8, 2017
✔ NPI 1386920510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-012042
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1535 47TH AVE, Moline, IL 61265
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.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

Dr. Carla Ann Sullivan D.c. 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 ID5890969067
PECOS Enrollment IDI20111128000490, I20170811000321

Medicare Billing Reassignment

Medicare enrollment records show Carla Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palmer College Foundation
0.3 mi
Chiropractor
2001 52ND AVE, SUITE 1
Moline, IL 61265
  • Reassigned Medicare billing, Illinois and Iowa enrollments
  • Also billed through NPI 1174535181 (Iowa)
  • 5 clinicians in this Medicare group
NPI 1245365733 (309) 764-4901

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

Other Providers at the Same Location NPPES 2

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

MS. ANETTE SVENDSBERGET D.C.
Chiropractor
1535 47TH AVE, SUITE 5
MOLINE, IL 61265
Rock Island County (309) 592-7000
QC WELLNESS CENTER, LLC
Chiropractor
1535 47TH AVE, SUITE 5
MOLINE, IL 61265
Rock Island County (309) 797-4203

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 Carla Sullivan's NPI number?

The NPI number for Carla Sullivan is 1386920510. It was assigned to this individual provider in the NPPES registry on November 2, 2011.

Where is Carla Sullivan located?

Carla Sullivan practices at 1535 47th Ave Suite 5, Moline, IL 61265. The listed phone number is (309) 797-4203.

What is Carla Sullivan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Carla Sullivan enrolled in Medicare?

Yes. Carla 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 Carla Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Sullivan reassigns Medicare benefits to Palmer College Foundation (Moline, IL). 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 Carla Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Sullivan accept?

Health plans from Ambetter Health list Carla 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.

When was this NPI record last updated?

The NPPES record for Carla Sullivan was last updated on August 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.