1. Home
  2. Directory
  3. Arkansas
  4. Gould
  5. Nurse Practitioner
  6. NPI Profile

KIMBERLY ANN SULLIVAN FNP
NPI 1538817325
Nurse Practitioner - Family in Gould, AR

Active since March 11, 2022PECOS EnrolledAccepts Medicare Assignment
407 S GOULD AVE, GOULD, AR 71643(870) 382-3080(870) 263-4782 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2024, Mar 11, 2022 (2 updates tracked since 2022).

About Kimberly Ann Sullivan Fnp NPPES

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

KIMBERLY ANN SULLIVAN FNP (NPI 1538817325) is an individual family provider in Gould, Arkansas, licensed in Arkansas (229467) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538817325
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY ANN SULLIVANCredential: FNP
Location Address407 S GOULD AVEGould, AR 71643-5041
Mailing AddressPo Box 158Dumas, AR 71639-0158 · (870) 382-3080 · Fax (870) 263-4782
Phone(870) 382-3080
Fax(870) 263-4782
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 11, 2022
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1538817325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AR · 229467✔ Licensed in CA · 95020227
407 S GOULD AVE, Gould, AR 71643
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

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

Kimberly Ann Sullivan Fnp 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 ID1052858909
PECOS Enrollment IDI20240808004486
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71643 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
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 5

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

ASCENSION DEPAUL SERVICES
Clinic/Center (Rural Health)
407 S GOULD AVE
GOULD, AR 71643
Lincoln County (870) 263-4317
SHUNDRICKA ROCHELLE REDDICK NURSE PRACTITIONER
Nurse Practitioner (Family)
407 S GOULD AVE
GOULD, AR 71643
Lincoln County (870) 263-4317
DUTTON DOUGLAS DAY DMD
Dentist (General Practice)
407 S GOULD AVE
GOULD, AR 71643
Lincoln County (870) 382-3080
CHARLES J WOODYARD DDS
Dentist
407 S GOULD AVE
GOULD, AR 71643
Lincoln County (870) 263-4317
MARILLAC COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
407 S GOULD AVE
GOULD, AR 71643
Lincoln County (870) 382-3080

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 Kimberly Sullivan's NPI number?

The NPI number for Kimberly Sullivan is 1538817325. It was assigned to this individual provider in the NPPES registry on March 11, 2022.

Where is Kimberly Sullivan located?

Kimberly Sullivan practices at 407 S Gould Ave, Gould, AR 71643. The listed phone number is (870) 382-3080.

What is Kimberly Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Sullivan enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Sullivan accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kimberly Sullivan 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 Kimberly Sullivan was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.