AMANDA SULLIVAN
NPI 1588354849
Nurse Practitioner - Family in Syracuse, NY
About Amanda Sullivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA SULLIVAN (NPI 1588354849) is an individual family provider in Syracuse, New York, licensed in New York (752412) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Amanda Sullivan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 369 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 434 clinicians in this Medicare group
Liverpool, NY 13088
- Reassigned Medicare billing, New York enrollment
- 625 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13203 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.
SYRACUSE, NY 13203
SYRACUSE, NY 13203
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 Amanda Sullivan's NPI number?
The NPI number for Amanda Sullivan is 1588354849. It was assigned to this individual provider in the NPPES registry on May 10, 2023.
Where is Amanda Sullivan located?
Amanda Sullivan practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 448-5871.
What is Amanda Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Sullivan enrolled in Medicare?
Yes. Amanda Sullivan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Amanda Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Sullivan reassigns Medicare benefits to 3 organizations: St Josephs Hospital Health Center (Syracuse, NY), Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In (Syracuse, NY) and St Josephs Medical PC (Liverpool, NY). Each 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 Amanda 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 Amanda Sullivan was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Amanda Sullivan · NPI 1588354849
Family physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since May 10, 2023.
## Identity
- **NPI:** 1588354849 (Entity type: Individual)
- **Enumerated:** May 10, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 752412 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 PROSPECT AVE, Syracuse, NY 13203-1807
- **Phone:** (315) 448-5871
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St Josephs Hospital Health Center (NPI 1508815333, Syracuse, NY); Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In (NPI 1063468239, Syracuse, NY); St Josephs Medical PC (NPI 1942501747, Liverpool, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1588354849) · Data from the CMS NPPES public registry.