MRS. KAITLIN SULLIVAN PA-C
NPI 1710238001
Physician Assistant - Medical in Louisville, KY

Active since September 26, 2012PECOS EnrolledAccepts Medicare Assignment
3900 KRESGE WAY, SUITE 30, LOUISVILLE, KY 40207(502) 891-8700(502) 891-8752 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kaitlin Sullivan Pa-c NPPES

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

MRS. KAITLIN SULLIVAN PA-C (NPI 1710238001) is an individual medical provider in Louisville, Kentucky, licensed in Kentucky (TC147) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of University Of Kentucky College Of Medicine (2012).

NPPES Registry Identity

NPI1710238001
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KAITLIN SULLIVANCredential: PA-C
Location Address3900 KRESGE WAY, SUITE 30Louisville, KY 40207-4660
Mailing Address3900 Kresge Way, Suite 30Louisville, KY 40207-4660 · (502) 891-8700 · Fax (502) 891-8752
Fax(502) 891-8752
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2012
Enumeration DateSeptember 26, 2012
NPI 1710238001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in KY · TC147
3900 KRESGE WAY, Louisville, KY 40207

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

Mrs. Kaitlin 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.

PECOS PAC ID3577717719
PECOS Enrollment IDI20130215000483
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 4

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 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.
64 services41 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
17 services17 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
17 services17 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

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.

Obstetrics & Gynecology
3900 KRESGE WAY, SUITE 30
LOUISVILLE, KY 40207
Physical Medicine & Rehabilitation
3900 KRESGE WAY, STE #41
LOUISVILLE, KY 40207
Physician Assistant (Medical)
3900 KRESGE WAY, STE 30
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
3900 KRESGE WAY
LOUISVILLE, KY 40207
Psychiatry & Neurology (Neurology)
3900 KRESGE WAY, SUITE 56
LOUISVILLE, KY 40207
Internal Medicine (Interventional Cardiology)
3900 KRESGE WAY, SUITE 60
LOUISVILLE, KY 40207
Internal Medicine
3900 KRESGE WAY, STE. 50
LOUISVILLE, KY 40207
Nurse Practitioner
3900 KRESGE WAY, SUITE 60
LOUISVILLE, KY 40207

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 Kaitlin Sullivan's NPI number?

The NPI number for Kaitlin Sullivan is 1710238001. It was assigned to this individual provider in the NPPES registry on September 26, 2012.

Where is Kaitlin Sullivan located?

Kaitlin Sullivan practices at 3900 Kresge Way Suite 30, Louisville, KY 40207. The listed phone number is (502) 891-8700.

What is Kaitlin Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kaitlin Sullivan enrolled in Medicare?

Yes. Kaitlin 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.

Is Kaitlin Sullivan affiliated with any hospitals?

According to CMS data, Kaitlin Sullivan is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Kaitlin Sullivan was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.