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JESSICCA ANN SULLIVAN
NPI 1659028546
Nurse Practitioner in Hoffman Estates, IL

Active since March 09, 2022PECOS EnrolledAccepts Medicare Assignment
4885 HOFFMAN BLVD STE 407, HOFFMAN ESTATES, IL 60192(224) 484-0183 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2022, Mar 9, 2022 (2 updates tracked since 2022).

About Jessicca Ann Sullivan NPPES

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

JESSICCA ANN SULLIVAN (NPI 1659028546) is an individual nurse practitioner in Hoffman Estates, Illinois, licensed in Illinois (209024365) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1659028546
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICCA ANN SULLIVAN
Location Address4885 HOFFMAN BLVD STE 407Hoffman Estates, IL 60192-3726
Mailing Address4885 Hoffman Blvd Ste 400Hoffman Estates, IL 60192-3727 · (224) 484-0183
Phone(224) 484-0183
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 9, 2022
Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1659028546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209024365
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.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 209024365 (IL)
4885 HOFFMAN BLVD STE 407, Hoffman Estates, IL 60192
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Jessicca Ann Sullivan 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 ID6002285269
PECOS Enrollment IDI20221209000905
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessicca Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermatology Associates Of Lagrange Sc
25 mi
Dermatology
5201 WILLOW SPRINGS RD, SUITE #430
La Grange Highlands, IL 60525
  • Reassigned Medicare billing, Illinois enrollment
  • 17 clinicians in this Medicare group
NPI 1780795856 (708) 482-3213

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 11

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 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.
106 services84 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.
96 services78 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
62 services57 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
58 services42 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
37 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60192 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 3

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

MICHAEL D RENDER PA-C
Physician Assistant
4885 HOFFMAN BLVD STE 407
HOFFMAN ESTATES, IL 60192
Cook County (224) 484-0183
DR. JAMES LASSITER QUERTERMOUS M.D.
Dermatology (MOHS-Micrographic Surgery)
4885 HOFFMAN BLVD STE 407
HOFFMAN ESTATES, IL 60192
Cook County (224) 484-0183
ALYCIA CORRAL PA-C
Physician Assistant
4885 HOFFMAN BLVD STE 407
HOFFMAN ESTATES, IL 60192
Cook County (224) 484-0183

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 Jessicca Sullivan's NPI number?

The NPI number for Jessicca Sullivan is 1659028546. It was assigned to this individual provider in the NPPES registry on March 9, 2022.

Where is Jessicca Sullivan located?

Jessicca Sullivan practices at 4885 Hoffman Blvd Ste 407, Hoffman Estates, IL 60192. The listed phone number is (224) 484-0183.

What is Jessicca Sullivan's specialty?

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

Is Jessicca Sullivan enrolled in Medicare?

Yes. Jessicca 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 organization bills Medicare for Jessicca Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessicca Sullivan reassigns Medicare benefits to Dermatology Associates Of Lagrange Sc (La Grange Highlands, IL). The 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 Jessicca Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessicca Sullivan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Jessicca 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.

When was this NPI record last updated?

The NPPES record for Jessicca Sullivan was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.