HAZEL LEANN SULLIVAN AG- ACNP
NPI 1679995112
Nurse Practitioner - Acute Care in Meridian, MS
About Hazel Leann Sullivan Ag- Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAZEL LEANN SULLIVAN AG- ACNP (NPI 1679995112) is an individual acute care provider in Meridian, Mississippi, licensed in Mississippi (R854988) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with Ochsner Rush Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Hazel Leann Sullivan Ag- Acnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Hazel Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Meridian, MS 39301
- Reassigned Medicare billing, Mississippi enrollment
- 349 clinicians in this Medicare group
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 9
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ochsner Rush Hospital
Acute Care Hospitals · Meridian, MSAnderson Regional Medical Center
Acute Care Hospitals · Meridian, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Hazel Sullivan's NPI number?
The NPI number for Hazel Sullivan is 1679995112. It was assigned to this individual provider in the NPPES registry on January 18, 2014.
Where is Hazel Sullivan located?
Hazel Sullivan practices at 1314 19th Ave, Meridian, MS 39301. The listed phone number is (601) 483-0011.
What is Hazel Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Hazel Sullivan enrolled in Medicare?
Yes. Hazel 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 Hazel Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hazel Sullivan reassigns Medicare benefits to Medical Foundation, Inc. (Meridian, MS). 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 Hazel Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hazel Sullivan accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Hazel 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 Hazel Sullivan affiliated with any hospitals?
According to CMS data, Hazel Sullivan is affiliated with Ochsner Rush Hospital and Anderson Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Hazel Sullivan was last updated on January 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Hazel Leann Sullivan, AG- ACNP · NPI 1679995112
Acute Care physician in Meridian, Mississippi. Individual provider, active in the CMS NPPES registry since January 18, 2014.
## Identity
- **NPI:** 1679995112 (Entity type: Individual)
- **Enumerated:** January 18, 2014
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** R854988 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1314 19TH AVE, Meridian, MS 39301-4116
- **Phone:** (601) 483-0011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medical Foundation, Inc. (NPI 1609820539, Meridian, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** January 18, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1679995112) · Data from the CMS NPPES public registry.