SHEMIAH MESHAI SULLIVAN NP-C
NPI 1497274625
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

NPI Status: Active since September 19, 2017

Contact Information

242 E 6TH ST
LOS ANGELES, CA
ZIP 90014
Phone: (310) 428-7638

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Nurse Practitioner
Psychiatric/Mental Health
Accepts Insurance
PECOS Enrolled

About SHEMIAH SULLIVAN

This page provides the complete NPI Profile along with additional information for Shemiah Sullivan, a provider established in Los Angeles, California with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1497274625 assigned on September 2017. The practitioner's primary taxonomy code is 363LP0808X with license number 95007452 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1497274625
Provider Name: SHEMIAH MESHAI SULLIVAN NP-C
Gender: Female
Entity Type: Individual
Location Address: 242 E 6TH ST LOS ANGELES, CA 90014
Location Phone: (310) 428-7638
Mailing Address: 21213B HAWTHORNE BLVD # 1032 TORRANCE, CA 90503
Mailing Phone: (310) 428-7638
Is Sole Proprietor?: No
Enumeration Date: 09-19-2017
Last Update Date: 06-12-2024
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A nurse practitioner (NP) like Shemiah Sullivan 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.

Location Map

Secondary Locations

9901 Artesia Blvd
Bellflower, CA 90706
(562) 484-3385

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Psychiatric/Mental Health
Taxonomy Code: 363LP0808X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 95007452
License State: CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner Family	95007452 (CA)
2	363LP2300X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner Primary Care	95007452 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

BannerAetna

BannerAetna Bronze 2 HSA: No PCP required + 98point6 virtual care 24/7 - HMO
BannerAetna Bronze 4: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
BannerAetna Bronze 4: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
BannerAetna Bronze S: No PCP required + free 98point6 virtual care 24/7 - HMO
BannerAetna Gold 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
BannerAetna Gold 10: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 - HMO
BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
BannerAetna Gold S: No PCP required + free 98point6 virtual care 24/7 - HMO
BannerAetna Silver 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental +Vision - HMO
BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 - HMO
BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
BannerAetna Silver 5: No PCP required + free 98point6 virtual care 24/7 - HMO
BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 - HMO
BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
UHC Bronze Standard - HMO
UHC Bronze Value ($0 Virtual Urgent Care) - HMO
UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
UHC Gold Standard - HMO
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
UHC Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Shemiah 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 90014 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $96.36
Minimum New Patient Price $62.96
Maximum New Patient Price $187.6

Average New Patient Copayment $24.09
Minimum New Patient Copayment $15.74
Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $109.96
Minimum Established Patient Price $20.84
Maximum Established Patient Price $153.61

Average Established Patient Copayment $27.49
Minimum Established Patient Copayment $5.21
Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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.
1	4	9	7	2	7	4	6	2	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	18	7	4	7	8	6	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 7 + 8 + 6 + 4 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 5									5

The NPI number 1497274625 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.