WAMAITHA SULLIVAN FNP-BC
NPI 1689908220
Nurse Practitioner - Family in Gibson City, IL
About Wamaitha Sullivan Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAMAITHA SULLIVAN FNP-BC (NPI 1689908220) is an individual family provider in Gibson City, Illinois, licensed in Illinois (277000092) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Champaign, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Wamaitha Sullivan Fnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60936 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GIBSON CITY, IL 60936
GIBSON CITY, IL 60936
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 Wamaitha Sullivan's NPI number?
The NPI number for Wamaitha Sullivan is 1689908220. It was assigned to this individual provider in the NPPES registry on September 30, 2009.
Where is Wamaitha Sullivan located?
Wamaitha Sullivan practices at 1120 N Melvin St, Gibson City, IL 60936. The listed phone number is (217) 379-4864.
What is Wamaitha Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Wamaitha Sullivan enrolled in Medicare?
Yes. Wamaitha 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.
When was this NPI record last updated?
The NPPES record for Wamaitha Sullivan was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
