MRS. CORTESSIA BADIE SULLIVAN DNP, RN NPI 1487046132

Nurse Practitioner - Family in Uniontown, AL

Individual Female Nurse Practitioner Family PECOS Enrolled

About MRS. CORTESSIA BADIE SULLIVAN DNP, RN

Cortessia Sullivan is a provider established in Uniontown, Alabama and her medical specialization is Nurse Practitioner with a focus in family . The NPI number of Cortessia Sullivan is 1487046132 and was assigned on March 2015. The practitioner's primary taxonomy code is 363LF0000X with license number 2018016968 (AL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

A nurse practitioner (NP) like Mrs. Cortessia Badie Sullivan Dnp, Rn is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

NPI

1487046132

Provider NameMRS. CORTESSIA BADIE SULLIVAN DNP, RN
Provider Location Address330 OLD HAMBURG RD UNIONTOWN, AL 36786
Provider Mailing Address101 PARK PL SELMA, AL 36701
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date03-03-2015
Last Update Date02-01-2021



Cortessia Sullivan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Cortessia Sullivan is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.2018016968
License StateAL

Business Address

MRS. CORTESSIA BADIE SULLIVAN DNP, RN
330 OLD HAMBURG RD
UNIONTOWN, AL
ZIP 36786
Phone: (334) 628-2651

Get Directions


Mailing Address

MRS. CORTESSIA BADIE SULLIVAN DNP, RN
101 PARK PL
SELMA, AL
ZIP 36701
Phone: (334) 874-7428


Secondary Locations

700 19th St S
Birmingham, AL 35233
(205) 933-8101
228 Selma Ave
Selma, AL 36701
(334) 877-1490

PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine1-139399ALNo

Taxonomy Description: Not Available

2363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care2018016965ALNo

Taxonomy Description: Not Available

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487046132
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167041216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 0 + 4 + 1 + 2 + 1 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1487046132 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902985708DR. EDGAR BROWN MD
Individual
Family Medicine330 OLD HAMBURG RD
UNIONTOWN, AL 36786
(334) 628-2651
1730268566MS. DEBORAH MITCHELL CRNP
Individual
Nurse Practitioner330 OLD HAMBURG RD
UNIONTOWN, AL 36786
(334) 628-2651
1033298757RURAL HEALTH MEDICAL PROGRAM, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))330 OLD HAMBURG RD
UNIONTOWN, AL 36786
(334) 628-2651
1023653177MISS OCTIAVIA SHARNEA MASON ALC
Individual
Psychologist (Counseling)330 OLD HAMBURG RD
UNIONTOWN, AL 36786
(334) 628-2651

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Mrs. Cortessia Badie Sullivan Dnp, Rn is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.