KAILA RAE SULLIVAN DO
NPI 1629659743
Family Medicine in Saint Peter, MN
About Kaila Rae Sullivan Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAILA RAE SULLIVAN DO (NPI 1629659743) is an individual family medicine provider in Saint Peter, Minnesota, licensed in Minnesota (72407) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and maintains a secondary practice location in Mankato.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaila Rae Sullivan Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Kaila Sullivan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Le Sueur, MN 56058
- Reassigned Medicare billing, Minnesota enrollment
- 201 clinicians in this Medicare group
Mankato, MN 56001
- Reassigned Medicare billing, Minnesota enrollment
- 1,572 clinicians in this Medicare group
Arlington, MN 55307
- Reassigned Medicare billing, Minnesota enrollment
- 229 clinicians in this Medicare group
Waconia, MN 55387
- Reassigned Medicare billing, Minnesota enrollment
- 581 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 5
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ridgeview Medical Center
Acute Care Hospitals · Waconia, MNMayo Clinic Health System - Mankato
Acute Care Hospitals · Mankato, MNRiver's Edge Hospital & Clinic
Critical Access Hospitals · St Peter, MNMayo Clinic Health System New Prague
Critical Access Hospitals · New Prague, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56082 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST PETER, MN 56082
SAINT PETER, MN 56082
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 Kaila Sullivan's NPI number?
The NPI number for Kaila Sullivan is 1629659743. It was assigned to this individual provider in the NPPES registry on April 20, 2021. The provider is also known as Kaila Rae Anderson Do.
Where is Kaila Sullivan located?
Kaila Sullivan practices at 1900 Sunrise Dr, Saint Peter, MN 56082. The listed phone number is (507) 665-6299.
What is Kaila Sullivan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kaila Sullivan enrolled in Medicare?
Yes. Kaila Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kaila Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaila Sullivan reassigns Medicare benefits to 4 organizations: Minnesota Valley Health Center Inc (Le Sueur, MN), Mayo Clinic Health System-Southwest Minnesota Region (Mankato, MN), Sibley Medical Center (Arlington, MN) and Ridgeview Medical Center (Waconia, MN). 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 Kaila Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaila Sullivan accept?
Health plans from HealthPartners list Kaila 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.
Is Kaila Sullivan affiliated with any hospitals?
According to CMS data, Kaila Sullivan is affiliated with Ridgeview Medical Center, Mayo Clinic Health System - Mankato, River's Edge Hospital & Clinic and Mayo Clinic Health System New Prague.
When was this NPI record last updated?
The NPPES record for Kaila Sullivan was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kaila Rae Sullivan, DO · NPI 1629659743
Family Medicine physician in Saint Peter, Minnesota. Individual provider, active in the CMS NPPES registry since April 20, 2021.
## Identity
- **NPI:** 1629659743 (Entity type: Individual)
- **Enumerated:** April 20, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 72407 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1900 SUNRISE DR, Saint Peter, MN 56082-5376
- **Phone:** (507) 665-6299
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Minnesota Valley Health Center Inc (NPI 1730248907, Le Sueur, MN); Mayo Clinic Health System-Southwest Minnesota Region (NPI 1578545422, Mankato, MN); Sibley Medical Center (NPI 1740240225, Arlington, MN); Ridgeview Medical Center (NPI 1275608457, Waconia, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2021
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629659743) · Data from the CMS NPPES public registry.