JESSICA PAGE SULLIVAN CRNP-PMH
NPI 1508265737
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD
About Jessica Page Sullivan Crnp-pmh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA PAGE SULLIVAN CRNP-PMH (NPI 1508265737) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R192427) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Laurel, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica Page Sullivan Crnp-pmh is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessica Sullivan's NPI number?
The NPI number for Jessica Sullivan is 1508265737. It was assigned to this individual provider in the NPPES registry on August 13, 2014. The provider is also known as Jessica Lynne Page.
Where is Jessica Sullivan located?
Jessica Sullivan practices at 10 W Madison St Ste 11, Baltimore, MD 21201. The listed phone number is (443) 438-7863.
What is Jessica Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jessica Sullivan enrolled in Medicare?
Yes. Jessica Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jessica Sullivan was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jessica Page Sullivan, CRNP-PMH · NPI 1508265737
Psychiatric/Mental Health physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since August 13, 2014.
## Identity
- **NPI:** 1508265737 (Entity type: Individual)
- **Enumerated:** August 13, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R192427 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10 W MADISON ST STE 11, Baltimore, MD 21201
- **Phone:** (443) 438-7863
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 16, 2018
- **Other identifiers:** Medicaid 086453600 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1508265737) · Data from the CMS NPPES public registry.