WANDA J SULLIVAN RN
NPI 1740360353
Nurse Practitioner in Ruston, LA
About Wanda J Sullivan Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WANDA J SULLIVAN RN (NPI 1740360353) is an individual nurse practitioner in Ruston, Louisiana, licensed in Louisiana (RN073140) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Monroe, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Wanda J Sullivan Rn 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.
Medicare Billing Reassignments
3Medicare enrollment records show Wanda Sullivan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 1,167 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 174 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 104 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ochsner Lsu Health Monroe
Acute Care Hospitals · Monroe, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71270 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wanda Sullivan's NPI number?
The NPI number for Wanda Sullivan is 1740360353. It was assigned to this individual provider in the NPPES registry on October 17, 2006.
Where is Wanda Sullivan located?
Wanda Sullivan practices at 765 S Bonner St, Ruston, LA 71270. The listed phone number is (318) 202-5935.
What is Wanda Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Wanda Sullivan enrolled in Medicare?
Yes. Wanda 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.
Which organizations bill Medicare for Wanda Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Sullivan reassigns Medicare benefits to 3 organizations: Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA), University Health Shreveport LLC (Shreveport, LA) and Cross Lake Emergency Group, LLC (Shreveport, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wanda Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wanda Sullivan accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Wanda 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 Wanda Sullivan affiliated with any hospitals?
According to CMS data, Wanda Sullivan is affiliated with Ochsner Lsu Health Monroe.
When was this NPI record last updated?
The NPPES record for Wanda Sullivan was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Wanda J Sullivan, RN · NPI 1740360353
Nurse Practitioner physician in Ruston, Louisiana. Individual provider, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1740360353 (Entity type: Individual)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN073140 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 765 S BONNER ST, Ruston, LA 71270-5801
- **Phone:** (318) 202-5935 · **Fax:** (318) 202-5933
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lsu Health Sciences Center Shreveport Faculty Group Practice (NPI 1013374222, Shreveport, LA); University Health Shreveport LLC (NPI 1619443611, Shreveport, LA); Cross Lake Emergency Group, LLC (NPI 1013497114, Shreveport, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** February 18, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1740360353) · Data from the CMS NPPES public registry.