KATHLEEN MARIE SULLIVAN PA-C
NPI 1699102988
Physician Assistant in Mountain View, CA
About Kathleen Marie Sullivan Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN MARIE SULLIVAN PA-C (NPI 1699102988) is an individual physician assistant in Mountain View, California, licensed in California (PA23126) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Kathleen Marie Sullivan Pa-c 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 94040 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.
MOUNTAIN VIEW, CA 94040
MOUNTAIN VIEW, CA 94040
MOUNTAIN VIEW, CA 94040
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 Kathleen Sullivan's NPI number?
The NPI number for Kathleen Sullivan is 1699102988. It was assigned to this individual provider in the NPPES registry on October 1, 2013.
Where is Kathleen Sullivan located?
Kathleen Sullivan practices at 2500 Grant Rd, Mountain View, CA 94040. The listed phone number is (650) 940-7055.
What is Kathleen Sullivan's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kathleen Sullivan enrolled in Medicare?
Yes. Kathleen 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 Kathleen Sullivan was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kathleen Marie Sullivan, PA-C · NPI 1699102988
Physician Assistant physician in Mountain View, California. Individual provider, active in the CMS NPPES registry since October 1, 2013.
## Identity
- **NPI:** 1699102988 (Entity type: Individual)
- **Enumerated:** October 1, 2013
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA23126 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2500 GRANT RD, Mountain View, CA 94040-4302
- **Phone:** (650) 940-7055
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1699102988) · Data from the CMS NPPES public registry.