NICOLE SULLIVAN MD - NPI 1750919122 - Radiology in Little Rock, AR

Q: What is Nicole Sullivan's NPI number?

The NPI number for Nicole Sullivan is 1750919122. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Nicole Sullivan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Sullivan was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Nicole Sullivan Md NPPES

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

NICOLE SULLIVAN MD (NPI 1750919122) is an individual diagnostic radiology provider in Little Rock, Arkansas, licensed in Washington (MD.70087066) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750919122

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameNICOLE SULLIVANCredential: MD

Location Address4301 W MARKHAM ST # 837Little Rock, AR 72205-7101

Mailing Address15 Alpine CtLittle Rock, AR 72205-4219

Phone(501) 526-6020

Sole ProprietorYes

Enumeration DateMarch 31, 2020

Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1750919122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in WA · MD.70087066

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License MD.70087066 (WA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4301 W MARKHAM ST # 837, Little Rock, AR 72205

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 72205 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.