JOANNE MARIE SULLIVAN NP
NPI 1427113539
Nurse Practitioner - Gerontology in Waltham, MA
About Joanne Marie Sullivan Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOANNE MARIE SULLIVAN NP (NPI 1427113539) is an individual gerontology provider in Waltham, Massachusetts, licensed in Massachusetts (225133) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joanne Marie Sullivan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02451 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.
WALTHAM, MA 02451
WALTHAM, MA 02451
WALTHAM, MA 02451
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 Joanne Sullivan's NPI number?
The NPI number for Joanne Sullivan is 1427113539. It was assigned to this individual provider in the NPPES registry on December 27, 2006.
Where is Joanne Sullivan located?
Joanne Sullivan practices at 950 Winter St Suite 3800, Waltham, MA 02451. The listed phone number is (781) 472-8515.
What is Joanne Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Joanne Sullivan enrolled in Medicare?
Yes. Joanne Sullivan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Joanne Sullivan was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Joanne Marie Sullivan, NP · NPI 1427113539
Gerontology physician in Waltham, Massachusetts. Individual provider, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1427113539 (Entity type: Individual)
- **Enumerated:** December 27, 2006
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 225133 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 950 WINTER ST, SUITE 3800, Waltham, MA 02451-1424
- **Phone:** (781) 472-8515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** July 20, 2015
- **Other identifiers:** Medicare UPIN S47574 (MA); Medicaid 0374130 (MA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1427113539) · Data from the CMS NPPES public registry.