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JESSICA SULLIVAN CFNP
NPI 1407682420
Nurse Practitioner - Primary Care in Woodland, MS

Active since September 09, 2024PECOS Enrolled
120 MARKET ST, WOODLAND, MS 39776(662) 456-0111(662) 456-7335 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Sullivan Cfnp NPPES

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

JESSICA SULLIVAN CFNP (NPI 1407682420) is an individual primary care provider in Woodland, Mississippi, licensed in Mississippi (906933) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407682420
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJESSICA SULLIVANCredential: CFNP
Location Address120 MARKET STWoodland, MS 39776-9104
Mailing Address18780 Highway 46Mantee, MS 39751-9514 · (662) 295-1944 · Fax (662) 456-7335
Phone(662) 456-0111
Fax(662) 456-7335
Sole ProprietorNo
Enumeration DateSeptember 9, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1407682420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MS · 906933
120 MARKET ST, Woodland, MS 39776
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Sullivan Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

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

Woodland Clinic LLC
0.2 mi
Hospice and Palliative Medicine
120 MARKET ST
Woodland, MS 39776
  • Reassigned Medicare billing, Mississippi enrollment
  • 3 clinicians in this Medicare group
NPI 1629282330 (662) 456-0111

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39776 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 2

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

FOOT SOLUTIONS LLC
Pharmacy (Clinic Pharmacy)
120 MARKET ST
WOODLAND, MS 39776
Chickasaw County (662) 456-0133
WOODLAND CLINIC LLC
Family Medicine (Hospice and Palliative Medicine)
120 MARKET ST
WOODLAND, MS 39776
Chickasaw County (662) 456-0111

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 Jessica Sullivan's NPI number?

The NPI number for Jessica Sullivan is 1407682420. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Jessica Sullivan located?

Jessica Sullivan practices at 120 Market St, Woodland, MS 39776. The listed phone number is (662) 456-0111.

What is Jessica Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jessica Sullivan enrolled in Medicare?

Yes. Jessica Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Sullivan reassigns Medicare benefits to Woodland Clinic LLC (Woodland, MS). 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 Jessica Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Sullivan accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Jessica 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 Jessica Sullivan was last updated on September 9, 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.