JACQUELINE YVONNE SULLIVAN CNM
NPI 1679847107
Advanced Practice Midwife in Hagerstown, MD

Q: What is Jacqueline Sullivan's NPI number?

The NPI number for Jacqueline Sullivan is 1679847107. It was assigned to this individual provider in the NPPES registry on March 1, 2012.

Q: What is Jacqueline Sullivan's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Active since March 01, 2012PECOS Enrolled

1165 IMPERIAL DR STE 200, HAGERSTOWN, MD 21740(301) 665-9098(301) 665-9096 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 5, 2022, Mar 19, 2020, Jan 13, 2020 and 3 more (6 updates tracked since 2017).

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About Jacqueline Yvonne Sullivan Cnm NPPES

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

JACQUELINE YVONNE SULLIVAN CNM (NPI 1679847107) is an individual advanced practice midwife in Hagerstown, Maryland, licensed in Pennsylvania (MW010272) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679847107

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameJACQUELINE YVONNE SULLIVANCredential: CNM

Location Address1165 IMPERIAL DR STE 200Hagerstown, MD 21740-6583

Mailing Address8110 Maple Lawn Blvd Ste 235Fulton, MD 20759-2694 · (301) 340-8339

Phone(301) 665-9098

Fax(301) 665-9096

Sole ProprietorNo

Enumeration DateMarch 1, 2012

Last NPPES UpdateDecember 1, 20236 updates tracked since enumeration

NPPES CertifiedDecember 1, 2023

✔ NPI 1679847107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in PA · MW010272

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

1165 IMPERIAL DR STE 200, Hagerstown, MD 21740

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Other Identifiers 1

Medicaid102733511PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Yvonne Sullivan Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 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

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

Most-billed visit code 99213

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.

HOLLY THOMAS CNM

Nurse Practitioner (Psychiatric/Mental Health)

1165 IMPERIAL DR STE 200
HAGERSTOWN, MD 21740

Washington County (301) 665-9098

VICTORIA M. WILLEY CRNP

Nurse Practitioner

1165 IMPERIAL DR STE 200
HAGERSTOWN, MD 21740

Washington County (301) 466-5190

KATIE ELIZABETH SCHLEIGH CNM

Midwife

1165 IMPERIAL DR STE 200
HAGERSTOWN, MD 21740

Washington County (301) 665-9098

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 Jacqueline Sullivan's NPI number?

The NPI number for Jacqueline Sullivan is 1679847107. It was assigned to this individual provider in the NPPES registry on March 1, 2012.

Where is Jacqueline Sullivan located?

Jacqueline Sullivan practices at 1165 Imperial Dr Ste 200, Hagerstown, MD 21740. The listed phone number is (301) 665-9098.

What is Jacqueline Sullivan's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Jacqueline Sullivan enrolled in Medicare?

Yes. Jacqueline Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Sullivan was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.