CASEY SULLIVAN FNP
NPI 1578670840
Nurse Practitioner - Family in Provo, UT
About Casey Sullivan Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASEY SULLIVAN FNP (NPI 1578670840) is an individual family provider in Provo, Utah, licensed in Utah (7344974-4405) and active in the NPI registry since August 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Casey Sullivan Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84604 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.
PROVO, UT 84604
PROVO, UT 84604
PROVO, UT 84604
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 Casey Sullivan's NPI number?
The NPI number for Casey Sullivan is 1578670840. It was assigned to this individual provider in the NPPES registry on August 24, 2006.
Where is Casey Sullivan located?
Casey Sullivan practices at 1055 N 300 W Ste 108, Provo, UT 84604. The listed phone number is (801) 357-7377.
What is Casey Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Casey Sullivan enrolled in Medicare?
No. Casey Sullivan has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Casey Sullivan accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Casey 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 Casey Sullivan was last updated on July 31, 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.
# Casey Sullivan, FNP · NPI 1578670840
Family physician in Provo, Utah. Individual provider, active in the CMS NPPES registry since August 24, 2006.
## Identity
- **NPI:** 1578670840 (Entity type: Individual)
- **Enumerated:** August 24, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7344974-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1055 N 300 W, STE 108, Provo, UT 84604-3381
- **Phone:** (801) 357-7377 · **Fax:** (801) 357-7378
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 31, 2023
- **Other identifiers:** Medicaid 606223 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1578670840) · Data from the CMS NPPES public registry.