MS. CHANTAL SULLIVAN PMHNP-BC
NPI 1740811280
Nurse Practitioner - Psychiatric/Mental Health in Gulfport, MS

Q: What is Chantal Sullivan's NPI number?

The NPI number for Chantal Sullivan is 1740811280. It was assigned to this individual provider in the NPPES registry on February 3, 2020.

Q: What is Chantal Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Chantal Sullivan was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 03, 2020PECOS Enrolled

8990 LORRAINE RD, GULFPORT, MS 39503(228) 331-3310 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2020, Feb 6, 2020 (2 updates tracked since 2020).

On this page

About Ms. Chantal Sullivan Pmhnp-bc NPPES

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

MS. CHANTAL SULLIVAN PMHNP-BC (NPI 1740811280) is an individual psychiatric/mental health provider in Gulfport, Mississippi, licensed in Mississippi (903677) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740811280

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. CHANTAL SULLIVANCredential: PMHNP-BC

Location Address8990 LORRAINE RDGulfport, MS 39503-4176

Mailing Address928 Courthouse Rd Unit 6Gulfport, MS 39507-4110 · (720) 271-0941

Phone(228) 331-3310

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 3, 2020

Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration

NPPES CertifiedMarch 9, 2020

✔ NPI 1740811280 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 MS · 903677

8990 LORRAINE RD, Gulfport, MS 39503

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Chantal Sullivan Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769804129

PECOS Enrollment IDI20200616002525

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 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.

358 services119 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

279 services100 patients

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.

23 services20 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39503 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Leave this field empty

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.

BELINDA HARRELL HOLDEN PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)