MRS. LYNSEY RENEE SULLIVAN FNP
NPI 1417492539
Nurse Practitioner - Family in Houston, MO

Active since December 28, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1337 S SAM HOUSTON BLVD, HOUSTON, MO 65483(417) 967-5435(417) 967-5503 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 14, 2023, Dec 28, 2016 (2 updates tracked since 2016).

About Mrs. Lynsey Renee Sullivan Fnp NPPES

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

MRS. LYNSEY RENEE SULLIVAN FNP (NPI 1417492539) is an individual family provider in Houston, Missouri, licensed in Missouri (2016038317) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Texas County Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1417492539
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LYNSEY RENEE SULLIVANCredential: FNP
Location Address1337 S SAM HOUSTON BLVDHouston, MO 65483-2046
Mailing Address1337 S Sam Houston BlvdHouston, MO 65483-2046 · (417) 967-5435 · Fax (417) 967-5503
Fax(417) 967-5503
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 28, 2016
Last NPPES UpdateFebruary 14, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
NPI 1417492539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MO · 2016038317 Licensed in MO · F09161375
1337 S SAM HOUSTON BLVD, Houston, MO 65483

Other Identifiers 2

Other26D0889777MO · Clia
Medicaid420039764MO

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 and accepts Medicare assignment

Mrs. Lynsey Renee Sullivan Fnp 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.

PECOS PAC ID1951684851
PECOS Enrollment IDI20170217001991
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas County Memorial Hospital

Acute Care Hospitals · Houston, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260024
Location1333 Sam Houston BoulevardHouston, MO 65483 · Texas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65483 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
4 suppliers20 claims1,680 services$0.36 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
3 suppliers12 claims139 services$20.32 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers26 claims684 services$7.11 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
3 suppliers18 claims175 services$7.23 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
3 suppliers23 claims898 services$0.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Obstetrics & Gynecology
1337 S SAM HOUSTON BLVD
HOUSTON, MO 65483
Nurse Practitioner (Family)
1337 S SAM HOUSTON BLVD
HOUSTON, MO 65483
Surgery
1337 S SAM HOUSTON BLVD, SUITE 300
HOUSTON, MO 65483
Clinic/Center (Multi-Specialty)
1337 S SAM HOUSTON BLVD
HOUSTON, MO 65483
Family Medicine
1337 S SAM HOUSTON BLVD
HOUSTON, MO 65483
Family Medicine
1337 S SAM HOUSTON BLVD
HOUSTON, MO 65483
Nurse Practitioner
1337 S SAM HOUSTON BLVD
HOUSTON, MO 65483
Internal Medicine (Pulmonary Disease)
1337 S SAM HOUSTON BLVD
HOUSTON, MO 65483

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 Lynsey Sullivan's NPI number?

The NPI number for Lynsey Sullivan is 1417492539. It was assigned to this individual provider in the NPPES registry on December 28, 2016.

Where is Lynsey Sullivan located?

Lynsey Sullivan practices at 1337 S Sam Houston Blvd, Houston, MO 65483. The listed phone number is (417) 967-5435.

What is Lynsey Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lynsey Sullivan enrolled in Medicare?

Yes. Lynsey 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.

What insurance does Lynsey Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Lynsey 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.

Is Lynsey Sullivan affiliated with any hospitals?

According to CMS data, Lynsey Sullivan is affiliated with Texas County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lynsey Sullivan was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.