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SULLIVAN COUNTY COMMUNITY HOSPITAL
NPI 1487450698
Clinic/Center - Critical Access Hospital in Sullivan, IN

Active since February 20, 2025
2120 N SECTION ST, SULLIVAN, IN 47882(812) 268-4311 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2026, Feb 20, 2025 (2 updates tracked since 2025).

About Sullivan County Community Hospital NPPES

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

SULLIVAN COUNTY COMMUNITY HOSPITAL (NPI 1487450698) is a healthcare organization registered as a critical access hospital in Sullivan, Indiana and active in the NPI registry since February 2025. The organization lists Jennifer Ridgway, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1487450698
Entity TypeOrganization
Primary Taxonomy261QC0050X
Legal Business NameSULLIVAN COUNTY COMMUNITY HOSPITAL
Location Address2120 N SECTION STSullivan, IN 47882-7518
Mailing AddressPo Box 10Sullivan, IN 47882-0010 · (812) 268-4311 · Fax (812) 268-2544
Phone(812) 268-4311
Organization SubpartNo
Authorized OfficialJennifer RidgwayRevenue Cycle Director · (812) 268-4311
Enumeration DateFebruary 20, 2025
Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1487450698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities
Taxonomy Code261QC0050X
Definition
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
2120 N SECTION ST, Sullivan, IN 47882
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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)

Sullivan County Community Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Sullivan County Community Hospital, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner9
Orthopedic Surgery4
Family Practice3
Certified Registered Nurse Anesthetist (CRNA)1
Internal Medicine1
Pain Management1
Podiatry1
Psychiatry1

Nearest to this location (20)

See all 21
Sharif Abdelfattah, DPM
Podiatry
NPI 1639605637
2120 N SECTION ST
Sullivan, IN 47885
(812) 268-3318
✔ PECOS✔ Accepts MedicareSame address
Shan Antony, MD
Family Practice
NPI 1093444382
2120 N SECTION ST
Sullivan, IN 47882
(812) 268-3318
✔ PECOS✔ Accepts MedicareSame address
Daniel Callahan, MD
Pain Management
NPI 1255580593
2120 N SECTION ST
Sullivan, IN 47882
(812) 268-2556
✔ PECOS✔ Accepts MedicareSame address
Robert Ealy, APRN
Nurse Practitioner
NPI 1720664048
2120 N SECTION ST
Sullivan, IN 47882
(812) 268-2556
✔ PECOS✔ Accepts MedicareSame address
Kevin Flinn, NP
Nurse Practitioner
NPI 1558019505
2120 N SECTION ST
Sullivan, IN 47882
(812) 268-4311
✔ PECOS✔ Accepts MedicareSame address
Paul Nosa-Oviasu
Family Practice
NPI 1740662063
2120 N SECTION ST
Sullivan, IN 47882
(812) 268-4311
✔ PECOS✔ Accepts MedicareSame address
Shahid Bashir, M.D.
Internal Medicine
NPI 1982751244
2120 N SECTION ST
Sullivan, IN 47882
(812) 268-2556
✔ PECOS✔ Accepts MedicareSame address
Billie Thurman, N.P.
Nurse Practitioner
NPI 1285892794
2200 N SECTION ST
Sullivan, IN 47882
(812) 268-4311
✔ PECOS✔ Accepts Medicare0.2 mi
Angela Walters, FNP-C
Nurse Practitioner
NPI 1407674195
2200 N SECTION ST STE A
Sullivan, IN 47882
(812) 268-6292
✔ PECOS✔ Accepts Medicare0.2 mi
Gloria Shields, NP
Nurse Practitioner
NPI 1508324187
13906 W 150 N
Linton, IN 47441
(812) 699-1373
✔ PECOS✔ Accepts Medicare13 mi
Paul Boland, FNP-C
Nurse Practitioner
NPI 1467921833
AMBUCARE CLINIC 3387 S US HWY 41
Terre Haute, IN 47802
(812) 232-5532
✔ PECOS✔ Accepts Medicare16 mi
Angela Bonham, FNP
Nurse Practitioner
NPI 1689273773
4525 S SPRINGHILL JCT
Terre Haute, IN 47802
(812) 234-6053
✔ PECOS✔ Accepts Medicare20 mi
Oscar Zavala, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811355316
3901 S 7TH ST
Terre Haute, IN 47802
(801) 458-2001
✔ Accepts Medicare20 mi
Deanna Plummer, FNP-C
Nurse Practitioner
NPI 1427483999
4480 FIRST AVENUE
Evansville, IN 47710
(866) 389-2727
✔ PECOS✔ Accepts Medicare77 mi
Tiffany Turner, FNP-C
Nurse Practitioner
NPI 1841521630
1701 S CREASY LN
Lafayette, IN 47905
(765) 502-4000
✔ PECOS✔ Accepts Medicare95 mi
Robert Jackson, D.O.
Orthopedic Surgery
NPI 1982654828
1721 MAGNAVOX WAY
Fort Wayne, IN 46804
(260) 748-3650
✔ PECOS✔ Accepts Medicare177 mi
Randon Johnson, M.D.
Orthopedic Surgery
NPI 1861611816
1431 N WESTERN AVE #310
Chicago, IL 60622
(773) 235-1900
✔ PECOS✔ Accepts Medicare193 mi
Carolyn Seifert, MD
Psychiatry
NPI 1720011869
141 COMMUNICATION DR
Hannibal, MO 63401
(573) 603-1460
✔ PECOS✔ Accepts Medicare217 mi
James Westmoreland, MD PA
Orthopedic Surgery
NPI 1104818897
1501 RIVER POINTE DR SUITE 100
Conroe, TX 77304
(936) 539-2663
✔ PECOS✔ Accepts Medicare762 mi
Kilby Osborn, MD
Family Practice
NPI 1205350808
125 FLORIDA MEMORIAL PKWY STE 2200
New Smyrna Beach, FL 32168
(386) 409-6839
✔ PECOS✔ Accepts Medicare788 mi
See all 21 clinicians

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 Sullivan County Community Hospital's NPI number?

The NPI number for Sullivan County Community Hospital is 1487450698. It was assigned to this organization in the NPPES registry on February 20, 2025.

Where is Sullivan County Community Hospital located?

Sullivan County Community Hospital is located at 2120 N Section St, Sullivan, IN 47882. The listed phone number is (812) 268-4311.

What is Sullivan County Community Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

Is Sullivan County Community Hospital enrolled in Medicare?

Yes. Sullivan County Community Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sullivan County Community Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 8 Medicare specialties reassign their Medicare billing to Sullivan County Community Hospital. 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. The largest specialties are Nurse Practitioner (9), Orthopedic Surgery (4) and Family Practice (3). Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sullivan County Community Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Sullivan County Community Hospital 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 Sullivan County Community Hospital was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.