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KAILA RAE SULLIVAN DO
NPI 1629659743
Family Medicine in Saint Peter, MN

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment
1900 SUNRISE DR, SAINT PETER, MN 56082(507) 665-6299 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2026, Aug 15, 2024, Dec 9, 2022 and 3 more (6 updates tracked since 2021).

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

NPI1629659743
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAILA RAE SULLIVANCredential: DO
Location Address1900 SUNRISE DRSaint Peter, MN 56082-5376
Mailing Address200 1st St SwRochester, MN 55905-6460 · (507) 284-2511
Phone(507) 665-6299
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2021
Enumeration DateApril 20, 2021
Last NPPES UpdateMarch 13, 20266 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1629659743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 72407
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1900 SUNRISE DR, Saint Peter, MN 56082
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Other Names 1

Former Name (1)Kaila Rae Anderson Do

Secondary Practice Location 1

Location 1101 Martin Luther King Jr. DrMankato, MN 56001-6460 · Phone (507) 594-6572 · Fax (507) 594-6959

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7214336866
PECOS Enrollment IDI20240830001078
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services31 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
27 services24 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients

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, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

River's Edge Hospital & Clinic

Critical Access Hospitals · St Peter, MN
OwnershipGovernment - Local
CMS Certification Number241334
Location1900 North Sunrise DriveSt Peter, MN 56082 · Nicollet County
Emergency services

Mayo Clinic Health System New Prague

Critical Access Hospitals · New Prague, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241361
Location301 2nd Street NortheastNew Prague, MN 56071 · Scott County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

LAURA TILTON MD LLC
Internal Medicine
1900 SUNRISE DR
SAINT PETER, MN 56082
Nicollet County (702) 453-3799
ACACIA MEDICAL GROUP PLLC
Hospitalist
1900 SUNRISE DR
SAINT PETER, MN 56082
Nicollet County (507) 931-2200
BIOREACTOR GENOMICS LLC
Internal Medicine
1900 SUNRISE DR
SAINT PETER, MN 56082
Nicollet County (702) 453-3799
LAURA HANSON
Nurse Anesthetist, Certified Registered
1900 SUNRISE DR
SAINT PETER, MN 56082
Nicollet County (507) 931-2200
RIVER'S EDGE HOSPITAL & CLINIC
General Acute Care Hospital (Critical Access)
1900 SUNRISE DR
ST PETER, MN 56082
Nicollet County (507) 931-2200
DR. KAE B LOVERINK M.D.
Family Medicine
1900 SUNRISE DR
SAINT PETER, MN 56082
Nicollet County (507) 934-7312
MATTHEW EDWARD MOGENSEN CRNA
Nurse Anesthetist, Certified Registered
1900 SUNRISE DR
SAINT PETER, MN 56082
Nicollet County (507) 931-2200
DR. PAUL B. BANDELIN DO
Dermatology
1900 SUNRISE DR, SUITE 300
SAINT PETER, MN 56082
Nicollet County (507) 389-8538

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.

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 5 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.