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KELLY ELIZABETH SULLIVAN AGNP-C
NPI 1427549088
Nurse Practitioner - Primary Care in Vernon, CT

Active since May 19, 2018PECOS Enrolled
428 HARTFORD TPKE STE 207, VERNON, CT 06066(860) 872-5426 Get Directions Write a Review

NPPES record last updated: May 19, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Elizabeth Sullivan Agnp-c NPPES

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

KELLY ELIZABETH SULLIVAN AGNP-C (NPI 1427549088) is an individual primary care provider in Vernon, Connecticut, licensed in Connecticut (390200000X) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427549088
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKELLY ELIZABETH SULLIVANCredential: AGNP-C
Location Address428 HARTFORD TPKE STE 207Vernon, CT 06066-4841
Mailing Address428 Hartford Tpke Ste 207Vernon, CT 06066-4841
Phone(860) 872-5426
Sole ProprietorYes
Enumeration DateMay 19, 2018
✔ NPI 1427549088 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 CT · 390200000X
428 HARTFORD TPKE STE 207, Vernon, CT 06066
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Elizabeth Sullivan Agnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06066 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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

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

MRS. STEPHANIE MELISSA FONTANELLA APRN
Nurse Practitioner
428 HARTFORD TPKE STE 207
VERNON, CT 06066
Capitol Planning Region (860) 872-5426

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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1427549088. It was assigned to this individual provider in the NPPES registry on May 19, 2018.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 428 Hartford Tpke Ste 207, Vernon, CT 06066. The listed phone number is (860) 872-5426.

What is Kelly Sullivan's specialty?

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

Is Kelly Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on May 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.