MATTHEW SULLIVAN
NPI 1629328463
Counselor - Professional in Batesville, AR
About Matthew Sullivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW SULLIVAN (NPI 1629328463) is an individual professional provider in Batesville, Arkansas, licensed in Arkansas (P2205009) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rogers.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Matthew Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jonesboro, AR 72401
- Reassigned Medicare billing, Arkansas enrollment
- 140 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Matthew Sullivan's NPI number?
The NPI number for Matthew Sullivan is 1629328463. It was assigned to this individual provider in the NPPES registry on September 19, 2012.
Where is Matthew Sullivan located?
Matthew Sullivan practices at 1650 White Dr, Batesville, AR 72501. The listed phone number is (870) 919-3381.
What is Matthew Sullivan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Matthew Sullivan enrolled in Medicare?
Yes. Matthew Sullivan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Matthew Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Sullivan reassigns Medicare benefits to Arisa Health, Inc. (Jonesboro, AR). 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 Matthew 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 Matthew Sullivan was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Matthew Sullivan · NPI 1629328463
Professional provider in Batesville, Arkansas. Individual provider, active in the CMS NPPES registry since September 19, 2012.
## Identity
- **NPI:** 1629328463 (Entity type: Individual)
- **Enumerated:** September 19, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** P2205009 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1650 WHITE DR, Batesville, AR 72501-9384
- **Phone:** (870) 919-3381
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Arisa Health, Inc. (NPI 1760187413, Jonesboro, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1629328463) · Data from the CMS NPPES public registry.