KIMBERLY ANN SULLIVAN FNP
NPI 1538817325
Nurse Practitioner - Family in Rison, AR
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 Rison, Arkansas, licensed in Arkansas (229467) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gould, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kimberly Sullivan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pine Bluff, AR 71603
- Reassigned Medicare billing, Arkansas enrollment
- 106 clinicians in this Medicare group
Gould, AR 71643
- Reassigned Medicare billing, Arkansas enrollment
- 5 clinicians in this Medicare group
Gould, AR 71643
- Reassigned Medicare billing, Arkansas enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71665 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 5
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 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 217 N Main St, Rison, AR 71665. The listed phone number is (888) 264-5034.
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.
Which organizations bill Medicare for Kimberly Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Sullivan reassigns Medicare benefits to 3 organizations: Jefferson Hospital Association, Inc. (Pine Bluff, AR), Marillac Community Health Centers (Gould, AR) and Ascension Depaul Services (Gould, AR). Each 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 Kimberly Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Sullivan accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers 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 September 10, 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.
# Kimberly Ann Sullivan, FNP · NPI 1538817325
Family physician in Rison, Arkansas. Individual provider, active in the CMS NPPES registry since March 11, 2022.
## Identity
- **NPI:** 1538817325 (Entity type: Individual)
- **Enumerated:** March 11, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 229467 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 217 N MAIN ST, Rison, AR 71665-8856
- **Phone:** (888) 264-5034
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jefferson Hospital Association, Inc. (NPI 1922578327, Pine Bluff, AR); Marillac Community Health Centers (NPI 1982381752, Gould, AR); Ascension Depaul Services (NPI 1225629819, Gould, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1538817325) · Data from the CMS NPPES public registry.