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DR. MARI CATHERINE SULLIVAN DNP, MSN, ARNP-C
NPI 1750449344
Family Medicine in Kingston, WA

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
PORT GAMBLE S'KLALLAM TRIBE COMMUNITY HEALTH, 32020 LITTLE BOSTON RD NE, KINGSTON, WA 98346(360) 297-2840(360) 925-3897 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mari Catherine Sullivan Dnp, Msn, Arnp-c NPPES

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

DR. MARI CATHERINE SULLIVAN DNP, MSN, ARNP-C (NPI 1750449344) is an individual family medicine provider in Kingston, Washington, licensed in Washington (AP30001946) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2029).

NPPES Registry Identity

NPI1750449344
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARI CATHERINE SULLIVANCredential: DNP, MSN, ARNP-C
Location AddressPORT GAMBLE S'KLALLAM TRIBE COMMUNITY HEALTH, 32020 LITTLE BOSTON RD NEKingston, WA 98346
Mailing Address32020 Little Boston Rd NeKingston, WA 98346-9734 · (360) 297-2840 · Fax (360) 925-3897
Phone(360) 297-2840
Fax(360) 925-3897
Sole ProprietorYes
Medical School CMSOtherGraduated 2029
Enumeration DateDecember 5, 2006
Last NPPES UpdateAugust 23, 2024
NPPES CertifiedAugust 21, 2024
✔ NPI 1750449344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · AP30001946
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP300001946 (WA)
PORT GAMBLE S'KLALLAM TRIBE COMMUNITY HEALTH, Kingston, WA 98346
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Other Names 1

Professional Name (2)Dr. Mari Catherine Sullivan Dnp, Msn, Arnp

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

Dr. Mari Catherine Sullivan Dnp, Msn, Arnp-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 ID2668826314
PECOS Enrollment IDI20230928002004
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.

Medicare Billing Reassignment

Medicare enrollment records show Mari Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Port Gamble S'klallam Tribe
5.3 mi
Federally Qualified Health Center (FQHC)
32014 LITTLE BOSTON RD NE
Kingston, WA 98346
  • Reassigned Medicare billing, Washington enrollment
  • 24 clinicians in this Medicare group
NPI 1760428650 (360) 297-9601

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98346 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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 Mari Sullivan's NPI number?

The NPI number for Mari Sullivan is 1750449344. It was assigned to this individual provider in the NPPES registry on December 5, 2006. The provider is also known as Dr. Mari Catherine Sullivan Dnp, Msn, Arnp.

Where is Mari Sullivan located?

Mari Sullivan practices at Port Gamble S'klallam Tribe Community Health 32020 Little Boston Rd NE, Kingston, WA 98346. The listed phone number is (360) 297-2840.

What is Mari Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mari Sullivan enrolled in Medicare?

Yes. Mari 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 organization bills Medicare for Mari Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mari Sullivan reassigns Medicare benefits to Port Gamble S'klallam Tribe (Kingston, WA). The 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 Mari Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mari Sullivan was last updated on August 23, 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.