HAZEL LEANN SULLIVAN AG- ACNP
NPI 1679995112
Nurse Practitioner - Acute Care in Meridian, MS

Q: 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.

Q: What is Hazel Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: 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.

Active since January 18, 2014PECOS EnrolledAccepts Medicare Assignment

1314 19TH AVE, MERIDIAN, MS 39301(601) 483-0011 Get Directions Write a Review

NPPES record last updated: January 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1679995112

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameHAZEL LEANN SULLIVANCredential: AG- ACNP

Location Address1314 19TH AVEMeridian, MS 39301-4116

Mailing Address2016 Little Rock Decatur RdDecatur, MS 39327-9118 · (601) 416-7816

Phone(601) 483-0011

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJanuary 18, 2014

✔ NPI 1679995112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MS · R854988

1314 19TH AVE, Meridian, MS 39301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

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.

PECOS PAC ID42530552

PECOS Enrollment IDI20170510000901

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 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.

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.

256 services191 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.

55 services32 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.

35 services35 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.

31 services31 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

26 services18 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.

24 services19 patients

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, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250069

Location1314 19th AveMeridian, MS 39301 · Lauderdale County

Emergency services Birthing friendly

Anderson Regional Medical Center

Acute Care Hospitals · Meridian, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250104

Location2124 14th StreetMeridian, MS 39301 · Lauderdale County

Emergency services Birthing friendly

Physician 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.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier21 claims21 services$24.25 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier21 claims21 services$9.82 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 20

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

CHARANDLE S JORDAN MD

Hospitalist