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MS. STEPHANIE M. SULLIVAN MSN, NP
NPI 1730121864
Nurse Practitioner - Obstetrics & Gynecology in Berkeley, CA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
2001 DWIGHT WAY, SECOND FLOOR, BERKELEY, CA 94704(510) 204-5770(510) 204-5749 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Stephanie M. Sullivan Msn, Np NPPES

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

MS. STEPHANIE M. SULLIVAN MSN, NP (NPI 1730121864) is an individual obstetrics & gynecology provider in Berkeley, California, licensed in California (566514) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1730121864
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMS. STEPHANIE M. SULLIVANCredential: MSN, NP
Location Address2001 DWIGHT WAY, SECOND FLOORBerkeley, CA 94704-2608
Mailing Address2001 Dwight Way, Second FloorBerkeley, CA 94704-2608 · (510) 204-5770 · Fax (510) 204-5749
Phone(510) 204-5770
Fax(510) 204-5749
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 12, 2006
Last NPPES UpdateJanuary 11, 2022
✔ NPI 1730121864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in CA · 566514
2001 DWIGHT WAY, Berkeley, CA 94704
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Other Names 1

Other Name (5)Ms. Stephanie Mayer Msn, Np

Other Identifiers 1

Medicaid005665140CA

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

Ms. Stephanie M. Sullivan Msn, Np 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 ID4082641220
PECOS Enrollment IDI20050720000253
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94704 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

DR. ANTHONY ADRIAN RIENZI M.D.
Psychiatry & Neurology (Psychiatry)
2001 DWIGHT WAY, SUITE 4190
BERKELEY, CA 94704
Alameda County (510) 204-4635
LINDSEY OLANDER
Speech-Language Pathologist
2001 DWIGHT WAY
BERKELEY, CA 94704
Alameda County (510) 204-1205
DR. DAIANA J HARPER M.D.
Psychiatry & Neurology (Psychiatry)
2001 DWIGHT WAY, SUITE 4190
BERKELEY, CA 94704
Alameda County (510) 204-4635
NORTHERN CALIFORNIA HEMATOLOGY AND ONCOLOGY CONSULTANTS, INC
Internal Medicine (Hematology & Oncology)
2001 DWIGHT WAY
BERKELEY, CA 94704
Alameda County (510) 204-6402
MS. PAMELA NICOLE PETERS
Obstetrics & Gynecology
2001 DWIGHT WAY
BERKELEY, CA 94704
Alameda County (510) 204-4444
DR. PATRICK SWIFT M.D.
Radiology (Radiation Oncology)
2001 DWIGHT WAY
BERKELEY, CA 94704
Alameda County (510) 204-2462
CENTER FOR HEALTH & INDEPENDENCE REHAB INC
Physical Medicine & Rehabilitation
2001 DWIGHT WAY, ROOM 2350
BERKELEY, CA 94704
Alameda County (510) 964-0458
CYNTHIA PEERY PTA
Physical Therapy Assistant
2001 DWIGHT WAY
BERKELEY, CA 94704
Alameda County (510) 204-4444

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 Stephanie Sullivan's NPI number?

The NPI number for Stephanie Sullivan is 1730121864. It was assigned to this individual provider in the NPPES registry on June 12, 2006. The provider is also known as Ms. Stephanie Mayer Msn, Np.

Where is Stephanie Sullivan located?

Stephanie Sullivan practices at 2001 Dwight Way Second Floor, Berkeley, CA 94704. The listed phone number is (510) 204-5770.

What is Stephanie Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Stephanie Sullivan enrolled in Medicare?

Yes. Stephanie 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 Stephanie Sullivan was last updated on January 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.