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SULLIVAN COUNTY COMMUNITY HOSPITAL
NPI 1497363303
Clinic/Center in Sullivan, IN

Active since July 16, 2020
2186 N HOSPITAL BLVD STE 2, SULLIVAN, IN 47882(812) 268-3318 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2026, Jan 2, 2024, Jul 16, 2020 (3 updates tracked since 2020).

About Sullivan County Community Hospital NPPES

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

SULLIVAN COUNTY COMMUNITY HOSPITAL (NPI 1497363303) is a healthcare organization registered as a clinic/center in Sullivan, Indiana and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Sullivan and lists Jennifer C Ridgway, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1497363303
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSULLIVAN COUNTY COMMUNITY HOSPITAL
Location Address2186 N HOSPITAL BLVD STE 2Sullivan, IN 47882-7654
Mailing AddressPo Box 10Sullivan, IN 47882-0010
Phone(812) 268-3318
Organization SubpartNo
Authorized OfficialJennifer C RidgwayDirector Of Revenue Cycle · (812) 268-4311
Enumeration DateJuly 16, 2020
Last NPPES UpdateJanuary 21, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1497363303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2186 N HOSPITAL BLVD STE 2, Sullivan, IN 47882
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Secondary Practice Location 1

Location 12200 N Section St Ste ASullivan, IN 47882-7523 · Phone (812) 268-6292

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Sullivan County Community Hospital, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner22
Family Practice3
Certified Registered Nurse Anesthetist (CRNA)1
Emergency Medicine1
Podiatry1
Psychiatry1
Urology1

Nearest to this location (20)

See all 30
Alexandria Clements, DO
Family Practice
NPI 1417585837
2186 N HOSPITAL BLVD STE 2
Sullivan, IN 47882
(812) 268-4311
✔ PECOS✔ Accepts MedicareSame address
Dustin Ellis, M.D.
Family Practice
NPI 1962658989
2186 N HOSPITAL BLVD STE 2
Sullivan, IN 47882
(812) 268-3318
✔ PECOS✔ Accepts MedicareSame address
Kathleen Pirtle, FNP
Nurse Practitioner
NPI 1770823387
2186 N HOSPITAL BLVD STE 2
Sullivan, IN 47882
(812) 268-3318
✔ PECOS✔ Accepts MedicareSame address
Tabitha Simpson
Nurse Practitioner
NPI 1962584375
2186 N HOSPITAL BLVD STE 2
Sullivan, IN 47882
(812) 268-3318
✔ PECOS✔ Accepts MedicareSame address
Stephen Beck, M.D.
Urology
NPI 1326034745
2186 N HOSPITAL BLVD STE 2
Sullivan, IN 47882
(812) 268-3318
✔ PECOS✔ Accepts MedicareSame address
Sharif Abdelfattah, DPM
Podiatry
NPI 1639605637
2120 N SECTION ST
Sullivan, IN 47885
(812) 268-3318
✔ PECOS✔ Accepts Medicare0.3 mi
Robert Ealy, APRN
Nurse Practitioner
NPI 1720664048
2120 N SECTION ST
Sullivan, IN 47882
(812) 268-2556
✔ PECOS✔ Accepts Medicare0.3 mi
Kevin Flinn, NP
Nurse Practitioner
NPI 1558019505
2120 N SECTION ST
Sullivan, IN 47882
(812) 268-4311
✔ PECOS✔ Accepts Medicare0.3 mi
William Heath, MD
Emergency Medicine
NPI 1942203104
2229 MARY SHERMAN DR
Sullivan, IN 47882
(812) 268-3318
✔ PECOS✔ Accepts Medicare0.3 mi
Jeanna Lisman, APN
Nurse Practitioner
NPI 1073042131
2229 MARY SHERMAN DR
Sullivan, IN 47882
(812) 268-3318
✔ PECOS✔ Accepts Medicare0.3 mi
Stacey Smith, FNP
Nurse Practitioner
NPI 1912947169
2229 MARY SHERMAN DR
Sullivan, IN 47882
(812) 268-3318
✔ PECOS✔ Accepts Medicare0.3 mi
Morgan Beard
Nurse Practitioner
NPI 1093509671
2200 N SECTION ST
Sullivan, IN 47882
(812) 268-6292
✔ PECOS✔ Accepts Medicare0.4 mi
Amy Sparks, FNP-C
Nurse Practitioner
NPI 1578344750
2200 N SECTION ST
Sullivan, IN 47882
(812) 268-4311
✔ PECOS✔ Accepts Medicare0.4 mi
Billie Thurman, N.P.
Nurse Practitioner
NPI 1285892794
2200 N SECTION ST
Sullivan, IN 47882
(812) 268-4311
✔ PECOS✔ Accepts Medicare0.4 mi
Angela Walters, FNP-C
Nurse Practitioner
NPI 1407674195
2200 N SECTION ST STE A
Sullivan, IN 47882
(812) 268-6292
✔ PECOS✔ Accepts Medicare0.4 mi
Kayla Kellams, MSN,FNP-C
Nurse Practitioner
NPI 1730813015
6908 S OLD 41
Carlisle, IN 47838
(812) 398-5050
✔ PECOS✔ Accepts Medicare10 mi
Tammy Walker
Nurse Practitioner
NPI 1124808803
405 E HARRISON ST
Carlisle, IN 47838
(812) 564-6050
✔ PECOS✔ Accepts Medicare12 mi
Gloria Shields, NP
Nurse Practitioner
NPI 1508324187
13906 W 150 N
Linton, IN 47441
(812) 699-1373
✔ PECOS✔ Accepts Medicare13 mi
Angela Shaw, NP
Nurse Practitioner
NPI 1639730013
4757 S 7TH ST
Terre Haute, IN 47802
(812) 234-2289
✔ 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
See all 30 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 1497363303. It was assigned to this organization in the NPPES registry on July 16, 2020.

Where is Sullivan County Community Hospital located?

Sullivan County Community Hospital is located at 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882. The listed phone number is (812) 268-3318.

What is Sullivan County Community Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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), 30 clinicians in 7 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 (22), Family Practice (3) and Certified Registered Nurse Anesthetist (CRNA) (1). Of these, 5 practice at this address and 15 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 Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.