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

Active since October 06, 2005
81.75/100
CMS Quality Rating
500 DOYLE PARK DR, SUITE G04, SANTA ROSA, CA 95405(707) 303-8360(707) 303-8361 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jenny Marie N Sullivan M.d. NPPES

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

JENNY MARIE N SULLIVAN M.D. (NPI 1407844285) is an individual family medicine provider in Santa Rosa, California, licensed in California (A84375) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1407844285
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNY MARIE N SULLIVANCredential: M.D.
Location Address500 DOYLE PARK DR, SUITE G04Santa Rosa, CA 95405-4558
Mailing Address500 Doyle Park Dr, Suite G04Santa Rosa, CA 95405-4558 · (707) 303-8360 · Fax (707) 303-8361
Phone(707) 303-8360
Fax(707) 303-8361
Sole ProprietorNo
Enumeration DateOctober 6, 2005
Last NPPES UpdateJuly 16, 2013
✔ NPI 1407844285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A84375
Definition
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.
500 DOYLE PARK DR, Santa Rosa, CA 95405
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Other Identifiers 2

Medicare UPINI18413CA
Medicare PINEK800ZCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.65
Promoting Interoperability72
Improvement Activities40
Cost79.21

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
100%152 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LEO ARTHUR SMITH MD
Family Medicine
500 DOYLE PARK DR, SUITE G-04
SANTA ROSA, CA 95405
Sonoma County (707) 303-8360
CYNTHIA R. INGELS MSN,N.P.
Nurse Practitioner (Family)
500 DOYLE PARK DR, SUITE 103
SANTA ROSA, CA 95405
Sonoma County (707) 579-1102
DR. JAMES CHARLES DEVORE MD
Family Medicine
500 DOYLE PARK DR, SUITE G04
SANTA ROSA, CA 95405
Sonoma County (707) 303-8360
DR. TOMAS VASILIAUSKAS M.D.
Internal Medicine (Cardiovascular Disease)
500 DOYLE PARK DR, SUITE G05
SANTA ROSA, CA 95405
Sonoma County (707) 576-7100
ERAN MATALON M.D.
Internal Medicine
500 DOYLE PARK DR, SUITE 304
SANTA ROSA, CA 95405
Sonoma County (707) 545-1700
RAMZI KHALIL DEEIK M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 DOYLE PARK DR, SUITE G-05
SANTA ROSA, CA 95405
Sonoma County (707) 255-8825
DR. JOEL E PAINE MD
Internal Medicine
500 DOYLE PARK DR, SUITE 300
SANTA ROSA, CA 95405
Sonoma County (707) 303-8344
ANNADEL MEDICAL GROUP, INC
Pediatrics
500 DOYLE PARK DR, SUITE 100
SANTA ROSA, CA 95405
Sonoma County (707) 544-6090

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 Jenny Marie Sullivan's NPI number?

The NPI number for Jenny Marie Sullivan is 1407844285. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Jenny Marie Sullivan located?

Jenny Marie Sullivan practices at 500 Doyle Park Dr Suite G04, Santa Rosa, CA 95405. The listed phone number is (707) 303-8360.

What is Jenny Marie Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Jenny Marie Sullivan accept?

Health plans from Molina Healthcare list Jenny Marie 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 Jenny Marie Sullivan was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.