SHELBY LYNNE SULLIVAN CRNA
NPI 1407354087
Nurse Anesthetist, Certified Registered in Plymouth, MA
About Shelby Lynne Sullivan Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY LYNNE SULLIVAN CRNA (NPI 1407354087) is an individual nurse anesthetist, certified registered in Plymouth, Massachusetts, licensed in Massachusetts (118920) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital Plymouth, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Shelby Lynne Sullivan Crna 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 Shelby Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plymouth, MA 02360
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1861216038 (Massachusetts)
- 556 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 6
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beth Israel Deaconess Hospital Plymouth
Acute Care Hospitals · Plymouth, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02360 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.
PLYMOUTH, MA 02360
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 Shelby Sullivan's NPI number?
The NPI number for Shelby Sullivan is 1407354087. It was assigned to this individual provider in the NPPES registry on January 29, 2018.
Where is Shelby Sullivan located?
Shelby Sullivan practices at 275 Sandwich St, Plymouth, MA 02360. The listed phone number is (508) 746-2000.
What is Shelby Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shelby Sullivan enrolled in Medicare?
Yes. Shelby 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 Shelby Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Sullivan reassigns Medicare benefits to Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (Plymouth, MA). 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 Shelby Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shelby Sullivan affiliated with any hospitals?
According to CMS data, Shelby Sullivan is affiliated with Beth Israel Deaconess Hospital Plymouth.
When was this NPI record last updated?
The NPPES record for Shelby Sullivan was last updated on December 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Shelby Lynne Sullivan, CRNA · NPI 1407354087
Nurse Anesthetist, Certified Registered physician in Plymouth, Massachusetts. Individual provider, active in the CMS NPPES registry since January 29, 2018.
## Identity
- **NPI:** 1407354087 (Entity type: Individual)
- **Enumerated:** January 29, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 118920 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 275 SANDWICH ST, Plymouth, MA 02360-2183
- **Phone:** (508) 746-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (NPI 1568859643, Plymouth, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 24, 2018
- **Other identifiers:** Medicaid 118920 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1407354087) · Data from the CMS NPPES public registry.