SANDRA EBERLE SULLIVAN NP
NPI 1639487952
Nurse Practitioner in Encinitas, CA
About Sandra Eberle Sullivan Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA EBERLE SULLIVAN NP (NPI 1639487952) is an individual nurse practitioner in Encinitas, California, licensed in California (NP19940) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Sandra Eberle Sullivan Np 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
2Medicare enrollment records show Sandra Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Encinitas, CA 92024
- Reassigned Medicare billing, California enrollment
- 1,598 clinicians in this Medicare group
Carlsbad, CA 92009
- Reassigned Medicare billing, California enrollment
- 8 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 2
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 92024 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.
ENCINITAS, CA 92024
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 Sandra Sullivan's NPI number?
The NPI number for Sandra Sullivan is 1639487952. It was assigned to this individual provider in the NPPES registry on September 21, 2010. The provider is also known as Sandra Tarr Np.
Where is Sandra Sullivan located?
Sandra Sullivan practices at 320 Santa Fe Dr Suite 308, Encinitas, CA 92024. The listed phone number is (760) 230-5188.
What is Sandra Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Sandra Sullivan enrolled in Medicare?
Yes. Sandra 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 Sandra Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Sullivan reassigns Medicare benefits to 2 organizations: Scripps Health (Encinitas, CA) and Coastal Pain & Spinal Diagnostics Medical Group, Inc. (Carlsbad, CA). 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 Sandra 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 Sandra Sullivan was last updated on January 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Sandra Eberle Sullivan, NP · NPI 1639487952
Nurse Practitioner physician in Encinitas, California. Individual provider, active in the CMS NPPES registry since September 21, 2010.
## Identity
- **NPI:** 1639487952 (Entity type: Individual)
- **Enumerated:** September 21, 2010
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NP19940 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 320 SANTA FE DR, SUITE 308, Encinitas, CA 92024-5138
- **Phone:** (760) 230-5188 · **Fax:** (760) 230-5203
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Scripps Health (NPI 1700829199, Encinitas, CA); Coastal Pain & Spinal Diagnostics Medical Group, Inc. (NPI 1710044029, Carlsbad, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** January 18, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1639487952) · Data from the CMS NPPES public registry.