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

Active since October 25, 2021PECOS Enrolled
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: August 30, 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. She is enrolled in Medicare PECOS.

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kristen Sullivan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60461 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

Internal Medicine (Cardiovascular Disease)
3800 W 203RD ST STE 201
OLYMPIA FIELDS, IL 60461

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 Kristen Sullivan's NPI number?

The NPI number for Kristen Sullivan is 1578227682. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Where is Kristen Sullivan located?

Kristen Sullivan practices at 3800 W 203rd St Ste 201, Olympia Fields, IL 60461. The listed phone number is (708) 852-2699.

What is Kristen Sullivan's specialty?

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

Is Kristen Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristen Sullivan was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.