MICHAEL SULLIVAN PMHNP-BC
NPI 1740650167
Nurse Practitioner - Psychiatric/Mental Health in Richmond, VA

Active since September 28, 2015PECOS EnrolledAccepts Medicare Assignment
517 W GRACE ST, RICHMOND, VA 23220(804) 783-2505 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Sullivan Pmhnp-bc NPPES

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

MICHAEL SULLIVAN PMHNP-BC (NPI 1740650167) is an individual psychiatric/mental health provider in Richmond, Virginia, licensed in Virginia (0024172854) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740650167
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL SULLIVANCredential: PMHNP-BC
Location Address517 W GRACE STRichmond, VA 23220-4911
Mailing Address517 W Grace StRichmond, VA 23220-4911 · (804) 783-2505
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 28, 2015
NPI 1740650167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in VA · 0024172854
517 W GRACE ST, Richmond, VA 23220

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

Michael Sullivan Pmhnp-bc 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 ID7911209986
PECOS Enrollment IDI20160107001580
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 23220 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Nurse Practitioner (Family)
517 W GRACE ST
RICHMOND, VA 23220
Family Medicine
517 W GRACE ST
RICHMOND, VA 23220
Counselor
517 W GRACE ST
RICHMOND, VA 23220
Social Worker
517 W GRACE ST
RICHMOND, VA 23220
Nurse Practitioner (Family)
517 W GRACE ST
RICHMOND, VA 23220
Nurse Practitioner
517 W GRACE ST
RICHMOND, VA 23220
Dentist (Dental Public Health)
517 W GRACE ST
RICHMOND, VA 23220
Dental Hygienist
517 W GRACE ST
RICHMOND, VA 23220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740650167, enumerated as an "individual" on September 28, 2015.

The provider is located at 517 W GRACE ST RICHMOND, VA 23220 and the phone number is (804) 783-2505.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.