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KRISTEN SULLIVAN
NPI 1578227682
Nurse Practitioner - Family in Olympia Fields, IL

Active since October 25, 2021
35.14/100
CMS Quality Rating
3800 W 203RD ST STE 201, OLYMPIA FIELDS, IL 60461(708) 852-2699 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 20, 2023, Mar 11, 2022 (2 updates tracked since 2022).

About Kristen Sullivan NPPES

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

KRISTEN SULLIVAN (NPI 1578227682) is an individual family provider in Olympia Fields, Illinois, licensed in Illinois (209023522) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1578227682
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN SULLIVAN
Location Address3800 W 203RD ST STE 201Olympia Fields, IL 60461-1185
Mailing Address3800 W 203rd St Ste 201Olympia Fields, IL 60461-1185 · (708) 852-2673
Phone(708) 852-2699
Sole ProprietorNo
Enumeration DateOctober 25, 2021
Last NPPES UpdateJanuary 20, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
✔ NPI 1578227682 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
License✔ Licensed in IL · 209023522
3800 W 203RD ST STE 201, Olympia Fields, IL 60461
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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

35.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.12
Promoting Interoperability0
Improvement Activities20
Cost58.93

Other Providers at the Same Location NPPES

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

AHMED ABDELLATIF HUSSEIN MD
Internal Medicine (Cardiovascular Disease)
3800 W 203RD ST STE 201
OLYMPIA FIELDS, IL 60461
Cook County (708) 852-2551

Frequently Asked Questions

What is Kristen Sullivan's NPI number?

The NPI number assigned to this healthcare provider is 1578227682, enumerated as an "individual" on October 25, 2021.

Where is the provider located?

The provider is located at 3800 W 203RD ST STE 201 OLYMPIA FIELDS, IL 60461 and the phone number is (708) 852-2699.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.