MICHAEL DARIS SULLIVAN NP
NPI 1679935514
Nurse Practitioner - Family in Charlotte, NC

Active since March 21, 2016PECOS Enrolled
99.32/100
CMS Quality Rating
225 BALDWIN AVE, CHARLOTTE, NC 28204(704) 376-1605 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2023, Mar 16, 2018, May 22, 2017 and 2 more (5 updates tracked since 2016).

About Michael Daris Sullivan Np NPPES

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

MICHAEL DARIS SULLIVAN NP (NPI 1679935514) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5017901) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1679935514
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL DARIS SULLIVANCredential: NP
Location Address225 BALDWIN AVECharlotte, NC 28204-3109
Mailing Address225 Baldwin AveCharlotte, NC 28204-3109 · (704) 376-1605 · Fax (704) 335-8448
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 21, 2016
Last NPPES UpdateFebruary 27, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
NPI 1679935514 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
Licenses Licensed in NC · 5017901 Licensed in SC · 20059
225 BALDWIN AVE, Charlotte, NC 28204

Secondary Practice Location 1

Location 13 Richland Medical Park Dr, Suite 310Columbia, SC 29203-6849 · Phone (803) 434-8323 · Fax (803) 434-8326

Other Identifiers 2

Medicaid1679935514NC
MedicaidNP4364SC

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Daris Sullivan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466737622
PECOS Enrollment IDI20170330001457, I20230601002743
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 8

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
47 services37 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
30 services30 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
22 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services11 patients
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.
15 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

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.

Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physician Assistant
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physical Therapist
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physician Assistant (Surgical)
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physician Assistant
225 BALDWIN AVE
CHARLOTTE, NC 28204
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physical Therapist
225 BALDWIN AVE
CHARLOTTE, NC 28204
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC 28204

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 Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1679935514. It was assigned to this individual provider in the NPPES registry on March 21, 2016.

Where is Michael Sullivan located?

Michael Sullivan practices at 225 Baldwin Ave, Charlotte, NC 28204. The listed phone number is (704) 376-1605.

What is Michael Sullivan's specialty?

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

Is Michael Sullivan enrolled in Medicare?

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

What insurance does Michael Sullivan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Michael 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 Michael Sullivan affiliated with any hospitals?

According to CMS data, Michael Sullivan is affiliated with Atrium Health Cleveland, Caromont Regional Medical Center, Carolinas Medical Center/Behav Health and Atrium Health Lincoln.

When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on February 27, 2024. 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.