COURTNEY ELIZABETH SULLIVAN RN
NPI 1518613694
Nurse Anesthetist, Certified Registered in Hollywood, FL

Q: What is Courtney Sullivan's NPI number?

The NPI number for Courtney Sullivan is 1518613694. It was assigned to this individual provider in the NPPES registry on February 27, 2022.

Q: What is Courtney Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Sullivan was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 27, 2022PECOS EnrolledAccepts Medicare Assignment

421 N 21ST AVE, HOLLYWOOD, FL 33020(305) 899-4722 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2024, Feb 27, 2022 (2 updates tracked since 2022).

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About Courtney Elizabeth Sullivan Rn NPPES

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

COURTNEY ELIZABETH SULLIVAN RN (NPI 1518613694) is an individual nurse anesthetist, certified registered in Hollywood, Florida, licensed in Illinois (209030084) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1518613694

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameCOURTNEY ELIZABETH SULLIVANCredential: RN

Location Address421 N 21ST AVEHollywood, FL 33020-4013

Mailing Address2691 Albatross Rd N Apt 203Delray Beach, FL 33444-2090 · (708) 299-4794

Phone(305) 899-4722

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 27, 2022

Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1518613694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in IL · 209030084

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 041394745 (IL), 9579641 (FL)

421 N 21ST AVE, Hollywood, FL 33020

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney Elizabeth Sullivan Rn 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.

PECOS PAC ID6800335563

PECOS Enrollment IDI20240826001908

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Courtney Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North American Partners In Anesthesia (illinois), LLC

1,178 mi

Anesthesiology

3 ERIE CT
Oak Park, IL 60302

Reassigned Medicare billing, Illinois enrollment
826 clinicians in this Medicare group

NPI 1699032524 (315) 413-5229

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140179

Location2800 W 95th StEvergreen Park, IL 60805 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RAYMOND CARL TRUSSELL JR. CRNA

Nurse Anesthetist, Certified Registered