MARIA SULLIVAN PA-C
NPI 1710541040
Physician Assistant - Medical in Bridgeton, MO

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
3440 DE PAUL LN STE 113, BRIDGETON, MO 63044(314) 942-6464 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2024, Oct 23, 2019, Apr 22, 2019 (3 updates tracked since 2019).

About Maria Sullivan Pa-c NPPES

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

MARIA SULLIVAN PA-C (NPI 1710541040) is an individual medical provider in Bridgeton, Missouri, licensed in Missouri (2020030529) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710541040
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARIA SULLIVANCredential: PA-C
Location Address3440 DE PAUL LN STE 113Bridgeton, MO 63044-3546
Mailing Address3440 De Paul Ln Ste 113Bridgeton, MO 63044-3546
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateMarch 6, 20243 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
NPI 1710541040 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
Licenses Licensed in MO · 2020030529 Licensed in CA · PA56937
3440 DE PAUL LN STE 113, Bridgeton, MO 63044

Other Names 1

Former Name (1)Maria Mcmillon Pa-c

Accepted 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

Maria 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 ID2365875747
PECOS Enrollment IDI20240711004111
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

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.
153 services145 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

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 Maria Sullivan's NPI number?

The NPI number for Maria Sullivan is 1710541040. It was assigned to this individual provider in the NPPES registry on April 22, 2019. The provider is also known as Maria Mcmillon Pa-C.

Where is Maria Sullivan located?

Maria Sullivan practices at 3440 De Paul Ln Ste 113, Bridgeton, MO 63044. The listed phone number is (314) 942-6464.

What is Maria Sullivan's specialty?

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

Is Maria Sullivan enrolled in Medicare?

Yes. Maria 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.

What insurance does Maria Sullivan accept?

Health plans from Oscar Insurance Company list Maria 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 Maria Sullivan affiliated with any hospitals?

According to CMS data, Maria Sullivan is affiliated with Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Maria Sullivan was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.