JENNY MARIE N SULLIVAN M.D.
NPI 1407844285
Family Medicine in Santa Rosa, CA


Quality Rating: 81.75 out of 100 score

NPI Status: Active since October 06, 2005

Contact Information

500 DOYLE PARK DR
SUITE G04
SANTA ROSA, CA
ZIP 95405
Phone: (707) 303-8360
Fax: (707) 303-8361

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  • Individual
  • Female
  • Family Medicine
  • Accepts Insurance
  • Medicare Quality Reporting

About JENNY MARIE SULLIVAN

This page provides the complete NPI Profile along with additional information for Jenny Marie Sullivan, a primary care provider established in Santa Rosa, California with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1407844285 assigned on October 2005. The practitioner's primary taxonomy code is 207Q00000X with license number A84375 (CA). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1407844285
Provider Name
JENNY MARIE N SULLIVAN M.D.
Gender
Female
Entity Type
Individual
Location Address
500 DOYLE PARK DR SUITE G04 SANTA ROSA, CA 95405
Location Phone
(707) 303-8360
Location Fax
(707) 303-8361
Mailing Address
500 DOYLE PARK DR SUITE G04 SANTA ROSA, CA 95405
Mailing Phone
(707) 303-8360
Mailing Fax
(707) 303-8361
Is Sole Proprietor?
No
Enumeration Date
10-06-2005
Last Update Date
07-16-2013
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A primary care provider (PCP) like Jenny Marie Sullivan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
A84375
License State
CA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
I18413MEDICARE UPIN (02)CA 
EK800ZMEDICARE PIN (08)CA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

This service was performed 30 times for 30 patients

Detection test by immunoassay with direct visual observation for influenza virus

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

This service was performed 61 times for 29 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 29 times for 27 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 32 times for 32 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 25 times for 25 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 81.75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 81.75 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 70.65

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 72

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 79.21

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 79.21

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 152
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Reviews for JENNY MARIE N SULLIVAN M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407844285, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 1 + 6 + 4 + 8 + 2 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1407844285.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
500 DOYLE PARK DR, STE G03
SANTA ROSA, CA 95405
Internal Medicine
500 DOYLE PARK DR, STE G03
SANTA ROSA, CA 95405
Internal Medicine
500 DOYLE PARK DR, STE G03
SANTA ROSA, CA 95405
Internal Medicine (Cardiovascular Disease)
500 DOYLE PARK DR, SUITE 205
SANTA ROSA, CA 95405
Internal Medicine (Cardiovascular Disease)
500 DOYLE PARK DR, SUITE 205
SANTA ROSA, CA 95405
Pediatrics
500 DOYLE PARK DR, STE 200
SANTA ROSA, CA 95405
Nurse Practitioner (Pediatrics)
500 DOYLE PARK DR, SUITE 100
SANTA ROSA, CA 95405
Nurse Practitioner (Pediatrics)
500 DOYLE PARK DR, SUITE 100
SANTA ROSA, CA 95405
Pediatrics
500 DOYLE PARK DR, SUITE 100
SANTA ROSA, CA 95405
Nurse Practitioner (Family)
500 DOYLE PARK DR, SUITE 200
SANTA ROSA, CA 95405
Nurse Practitioner (Pediatrics)
500 DOYLE PARK DR, SUITE 100
SANTA ROSA, CA 95405
Nurse Practitioner (Family)
500 DOYLE PARK DR, SUITE 200
SANTA ROSA, CA 95405
Internal Medicine
500 DOYLE PARK DR, SUITE 304
SANTA ROSA, CA 95405
Internal Medicine
500 DOYLE PARK DR, SUITE 304
SANTA ROSA, CA 95405
Internal Medicine
500 DOYLE PARK DR, STE G03
SANTA ROSA, CA 95405
Family Medicine
500 DOYLE PARK DR, SUITE G-04
SANTA ROSA, CA 95405
Nurse Practitioner (Family)
500 DOYLE PARK DR, SUITE 103
SANTA ROSA, CA 95405
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 DOYLE PARK DR, SUITE G-05
SANTA ROSA, CA 95405
Pediatrics
500 DOYLE PARK DR, SUITE 100
SANTA ROSA, CA 95405
Internal Medicine
500 DOYLE PARK DR, SUITE 300
SANTA ROSA, CA 95405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407844285, enumerated as an "individual" on October 06, 2005.

The provider is located at 500 DOYLE PARK DR SUITE G04 SANTA ROSA, CA 95405 and the phone number is (707) 303-8360.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.