CASSIE SULLIVAN
NPI 1396110821
Nurse Practitioner - Family in Tomah, WI
About Cassie Sullivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASSIE SULLIVAN (NPI 1396110821) is an individual family provider in Tomah, Wisconsin, licensed in Wisconsin (6726-33) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cassie Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54660 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.
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 Cassie Sullivan's NPI number?
The NPI number for Cassie Sullivan is 1396110821. It was assigned to this individual provider in the NPPES registry on December 9, 2015.
Where is Cassie Sullivan located?
Cassie Sullivan practices at 501 Gopher Dr, Tomah, WI 54660. The listed phone number is (608) 372-2181.
What is Cassie Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Cassie Sullivan enrolled in Medicare?
Yes. Cassie Sullivan is registered in the Medicare PECOS enrollment system.
What insurance does Cassie Sullivan accept?
Health plans from Anthem Blue Cross and Blue Shield and Medica list Cassie 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 Cassie Sullivan was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Cassie Sullivan · NPI 1396110821
Family physician in Tomah, Wisconsin. Individual provider, active in the CMS NPPES registry since December 9, 2015.
## Identity
- **NPI:** 1396110821 (Entity type: Individual)
- **Enumerated:** December 9, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 6726-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 GOPHER DR, Tomah, WI 54660-4513
- **Phone:** (608) 372-2181
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1396110821) · Data from the CMS NPPES public registry.