MRS. KATIE JO SULLIVAN NP
NPI 1649524059
Nurse Practitioner - Family in Easton, MD

Active since November 07, 2012PECOS EnrolledAccepts Medicare Assignment
91.81/100
CMS Quality Rating
8579 COMMERCE DR STE 104, EASTON, MD 21601(410) 822-9133(410) 822-9513 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2024, Oct 15, 2020, Aug 20, 2016 (3 updates tracked since 2016).

About Mrs. Katie Jo Sullivan Np NPPES

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

MRS. KATIE JO SULLIVAN NP (NPI 1649524059) is an individual family provider in Easton, Maryland, licensed in Maryland (R166423) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with University Of Md Shore Medical Center At Easton, and maintains a secondary practice location in Cambridge.

NPPES Registry Identity

NPI1649524059
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATIE JO SULLIVANCredential: NP
Location Address8579 COMMERCE DR STE 104Easton, MD 21601-7420
Mailing Address8579 Commerce Dr Ste 104Easton, MD 21601-7420 · (410) 822-9133 · Fax (410) 822-9513
Fax(410) 822-9513
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 7, 2012
Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
NPI 1649524059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R166423
8579 COMMERCE DR STE 104, Easton, MD 21601

Other Names 1

Former Name (1)Katie Jo Zimmerman Np

Secondary Practice Location 1

Location 1618 Sunburst HwyCambridge, MD 21613-2546 · Phone (667) 327-0228

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

Mrs. Katie Jo 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.

PECOS PAC ID3274853197
PECOS Enrollment IDI20150518000220
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 21

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.

Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
230 services136 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.
206 services159 patients
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.
145 services102 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
127 services95 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
92 services69 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
89 services89 patients

Hospital Affiliations CMS Care Compare

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

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210037
Location219 South Washington StreetEaston, MD 21601 · Talbot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21601 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost72.7

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier13 claims270 services$5.57 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
8579 COMMERCE DR STE 104
EASTON, MD 21601
Internal Medicine
8579 COMMERCE DR STE 104
EASTON, MD 21601
Nurse Practitioner (Women's Health)
8579 COMMERCE DR STE 104
EASTON, MD 21601
Nurse Practitioner (Family)
8579 COMMERCE DR STE 104
EASTON, MD 21601

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 Katie Sullivan's NPI number?

The NPI number for Katie Sullivan is 1649524059. It was assigned to this individual provider in the NPPES registry on November 7, 2012. The provider is also known as Katie Jo Zimmerman Np.

Where is Katie Sullivan located?

Katie Sullivan practices at 8579 Commerce Dr Ste 104, Easton, MD 21601. The listed phone number is (410) 822-9133.

What is Katie Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katie Sullivan enrolled in Medicare?

Yes. Katie 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 Katie Sullivan affiliated with any hospitals?

According to CMS data, Katie Sullivan is affiliated with University Of MD Shore Medical Center At Easton.

When was this NPI record last updated?

The NPPES record for Katie Sullivan was last updated on November 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.