KATHRYN THERESE SULLIVAN DILLIE MD, PHD
NPI 1548426141
Emergency Medicine in Hartford, WI
About Kathryn Therese Sullivan Dillie Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN THERESE SULLIVAN DILLIE MD, PHD (NPI 1548426141) is an individual emergency medicine provider in Hartford, Wisconsin, licensed in Wisconsin (53697-20) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Ripon Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 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
Kathryn Therese Sullivan Dillie Md, Phd 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 Reassignment
Medicare enrollment records show Kathryn Sullivan Dillie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Beaver Dam, WI 53916
- Reassigned Medicare billing, Wisconsin enrollment
- 606 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ripon Medical Center
Critical Access Hospitals · Ripon, WIWaupun Memorial Hospital
Critical Access Hospitals · Waupun, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53027 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARTFORD, WI 53027
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 Kathryn Sullivan Dillie's NPI number?
The NPI number for Kathryn Sullivan Dillie is 1548426141. It was assigned to this individual provider in the NPPES registry on August 3, 2008.
Where is Kathryn Sullivan Dillie located?
Kathryn Sullivan Dillie practices at 1032 E Sumner St, Hartford, WI 53027. The listed phone number is (262) 673-2300.
What is Kathryn Sullivan Dillie's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kathryn Sullivan Dillie enrolled in Medicare?
Yes. Kathryn Sullivan Dillie 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 organization bills Medicare for Kathryn Sullivan Dillie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Sullivan Dillie reassigns Medicare benefits to Agnesian Healthcare (Beaver Dam, WI). The 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 Kathryn Sullivan Dillie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathryn Sullivan Dillie accept?
Health plans from CareSource (Common Ground Healthcare) list Kathryn Sullivan Dillie 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.
Is Kathryn Sullivan Dillie affiliated with any hospitals?
According to CMS data, Kathryn Sullivan Dillie is affiliated with Ripon Medical Center and Waupun Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kathryn Sullivan Dillie was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# Kathryn Therese Sullivan Dillie, MD, PHD · NPI 1548426141
Emergency Medicine physician in Hartford, Wisconsin. Individual provider, active in the CMS NPPES registry since August 3, 2008.
## Identity
- **NPI:** 1548426141 (Entity type: Individual)
- **Enumerated:** August 3, 2008
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 53697-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1032 E SUMNER ST, Hartford, WI 53027-1608
- **Phone:** (262) 673-2300
## 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:** Agnesian Healthcare (NPI 1700817657, Beaver Dam, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** October 9, 2026
- **Other identifiers:** Medicaid 100023255 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1548426141) · Data from the CMS NPPES public registry.