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KATIE MICHELLE SULLIVAN NP
NPI 1558970251
Nurse Practitioner in Silver Spring, MD

Active since July 28, 2020PECOS Enrolled
8630 FENTON ST STE 1200, SILVER SPRING, MD 20910(240) 839-5811(301) 495-0318 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katie Michelle Sullivan Np NPPES

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

KATIE MICHELLE SULLIVAN NP (NPI 1558970251) is an individual nurse practitioner in Silver Spring, Maryland, licensed in Maryland (R240224) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558970251
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATIE MICHELLE SULLIVANCredential: NP
Location Address8630 FENTON ST STE 1200Silver Spring, MD 20910-3808
Mailing Address8630 Fenton St Ste 1204Silver Spring, MD 20910-3808 · (240) 839-5811 · Fax (301) 495-0318
Phone(240) 839-5811
Fax(301) 495-0318
Sole ProprietorNo
Enumeration DateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1558970251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · R240224
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8630 FENTON ST STE 1200, Silver Spring, MD 20910
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Michelle Sullivan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Katie Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC
9.3 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 20910 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 14

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

MS. BRITTANI COOK CRNP
Nurse Practitioner (Family)
8630 FENTON ST STE 1200
SILVER SPRING, MD 20910
Montgomery County (240) 475-5220
LEAH PL SHOVAL MSN, CPNP-PC, IBCLC
Nurse Practitioner (Pediatrics)
8630 FENTON ST STE 1200
SILVER SPRING, MD 20910
Montgomery County (015) 851-2503
SIYU ZHANG
Counselor (Mental Health)
8630 FENTON ST STE 1200
SILVER SPRING, MD 20910
Montgomery County (617) 505-7057
KIMBERLY WILLETT RN, APRN
Nurse Practitioner (Family)
8630 FENTON ST STE 1200
SILVER SPRING, MD 20910
Montgomery County (301) 585-1250
HELEN DENISSE MEJIA CNM
Midwife
8630 FENTON ST STE 1200
SILVER SPRING, MD 20910
Montgomery County (301) 585-1250
LATOYA VICTOR FNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
8630 FENTON ST STE 1200
SILVER SPRING, MD 20910
Montgomery County (301) 585-1250
SONYA J BRUTON PSY.D.
Psychologist (Clinical)
8630 FENTON ST STE 1200
SILVER SPRING, MD 20910
Montgomery County (301) 340-7525
ERICKA L PORTELA SOLIS LCSW-C
Social Worker (Clinical)
8630 FENTON ST STE 1200
SILVER SPRING, MD 20910
Montgomery County (571) 269-2937

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 Katie Sullivan's NPI number?

The NPI number for Katie Sullivan is 1558970251. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Katie Sullivan located?

Katie Sullivan practices at 8630 Fenton St Ste 1200, Silver Spring, MD 20910. The listed phone number is (240) 839-5811.

What is Katie Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katie Sullivan enrolled in Medicare?

Yes. Katie Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katie Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Sullivan reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). 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 Katie Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katie Sullivan was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.