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MALLORY PAIGE SULLIVAN APRN
NPI 1639800634
Nurse Practitioner in Panama City Beach, FL

Active since June 21, 2022PECOS EnrolledAccepts Medicare Assignment
12234 PANAMA CITY BEACH PKWY STE C, PANAMA CITY BEACH, FL 32407(850) 233-2323(850) 233-1055 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mallory Paige Sullivan Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY PAIGE SULLIVAN APRN (NPI 1639800634) is an individual nurse practitioner in Panama City Beach, Florida, licensed in Florida (APRN11020277) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Ascension Sacred Heart Bay, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639800634
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMALLORY PAIGE SULLIVANCredential: APRN
Location Address12234 PANAMA CITY BEACH PKWY STE CPanama City Beach, FL 32407-2726
Mailing Address12234 Panama City Beach Pkwy Ste CPanama City Beach, FL 32407-2726 · (850) 233-2323 · Fax (850) 233-1055
Phone(850) 233-2323
Fax(850) 233-1055
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 21, 2022
Last NPPES UpdateAugust 20, 2024
NPPES CertifiedAugust 20, 2024
✔ NPI 1639800634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11020277
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12234 PANAMA CITY BEACH PKWY STE C, Panama City Beach, FL 32407
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida.Insurance ›

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

Mallory Paige Sullivan Aprn 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 ID8628443819
PECOS Enrollment IDI20230330001958
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32407 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHPOINT MEDICAL GROUP OF THE EMERALD COAST, LLC
Family Medicine
12234 PANAMA CITY BEACH PKWY STE C
PANAMA CITY BEACH, FL 32407
Bay County (850) 233-2323

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 Mallory Sullivan's NPI number?

The NPI number for Mallory Sullivan is 1639800634. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Mallory Sullivan located?

Mallory Sullivan practices at 12234 Panama City Beach Pkwy Ste C, Panama City Beach, FL 32407. The listed phone number is (850) 233-2323.

What is Mallory Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mallory Sullivan enrolled in Medicare?

Yes. Mallory 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.

What insurance does Mallory Sullivan accept?

Health plans from Ambetter Health, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Mallory 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 Mallory Sullivan affiliated with any hospitals?

According to CMS data, Mallory Sullivan is affiliated with Ascension Sacred Heart Bay, Hca Florida Gulf Coast Hospital and Sacred Heart Hospital On The Emerald Coast.

When was this NPI record last updated?

The NPPES record for Mallory Sullivan was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.