CHANTAL SULLIVAN APRN-BC PLLC
NPI 1437784550
Nurse Practitioner - Psychiatric/Mental Health in Gulfport, MS

Active since March 09, 2020
8990 LORRAINE RD, GULFPORT, MS 39503(228) 331-3310 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chantal Sullivan Aprn-bc Pllc NPPES

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

CHANTAL SULLIVAN APRN-BC PLLC (NPI 1437784550) is a healthcare organization registered as a psychiatric/mental health in Gulfport, Mississippi and active in the NPI registry since March 2020. The organization lists Chantal Sullivan, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1437784550
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCHANTAL SULLIVAN APRN-BC PLLC
Location Address8990 LORRAINE RDGulfport, MS 39503-4176
Mailing Address928 Courthouse Rd Unit 6Gulfport, MS 39507-4110 · (720) 271-0941
Organization SubpartNo
Authorized OfficialChantal SullivanNurse Practitioner · (228) 331-3310
Enumeration DateMarch 9, 2020
Last NPPES UpdateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
✔ NPI 1437784550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
8990 LORRAINE RD, Gulfport, MS 39503

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chantal Sullivan Aprn-bc Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Chantal Sullivan Aprn-Bc PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1740811280
8990 LORRAINE RD
Gulfport, MS 39503
(228) 331-3310
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Chantal Sullivan Aprn-Bc PLLC's NPI number?

The NPI number for Chantal Sullivan Aprn-Bc PLLC is 1437784550. It was assigned to this organization in the NPPES registry on March 9, 2020.

Where is Chantal Sullivan Aprn-Bc PLLC located?

Chantal Sullivan Aprn-Bc PLLC is located at 8990 Lorraine Rd, Gulfport, MS 39503. The listed phone number is (228) 331-3310.

What is Chantal Sullivan Aprn-Bc PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Chantal Sullivan Aprn-Bc PLLC enrolled in Medicare?

Yes. Chantal Sullivan Aprn-Bc PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chantal Sullivan Aprn-Bc PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Chantal Sullivan Aprn-Bc PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Chantal Sullivan Aprn-Bc PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Chantal Sullivan Aprn-Bc PLLC 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 Chantal Sullivan Aprn-Bc PLLC was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.