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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
4301 W MARKHAM ST # 837, LITTLE ROCK, AR 72205(501) 526-6020 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2026, Jul 20, 2026, Mar 31, 2020 (3 updates tracked since 2020).

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, is affiliated with Skagit Valley Hospital, and maintains a secondary practice location in Port Townsend.

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
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateAugust 28, 20263 updates tracked since enumeration
NPPES CertifiedAugust 28, 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 ↗

Secondary Practice Location 1

Location 1834 Sheridan StPort Townsend, WA 98368-2443 · Phone (360) 385-2200

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

Nicole Sullivan Md 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 ID2466874623
PECOS Enrollment IDI20260803001262
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 Reassignments

6

Medicare enrollment records show Nicole Sullivan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Whidbey Island Public Hospital District
1,775 mi
Diagnostic Radiology
1526 139TH CT NE
Bellevue, WA 98005
  • Reassigned Medicare billing, Washington enrollment
  • 142 clinicians in this Medicare group
NPI 1336760586 (360) 678-5151
North Star Medical Imaging PLLC
1,801 mi
Diagnostic Radiology
125 N 18TH ST STE C
Mount Vernon, WA 98273
  • Reassigned Medicare billing, Alaska and Washington enrollments
  • 40 clinicians in this Medicare group
NPI 1144489824 (360) 424-6161
Skagit Radiology Inc P S
1,801 mi
Diagnostic Radiology
1415 E KINCAID
Mount Vernon, WA 98274
  • Reassigned Medicare billing, Alaska and Washington enrollments
  • 40 clinicians in this Medicare group
NPI 1932218757 (360) 424-6161
Skagit Digital Imaging LLC
1,801 mi
Diagnostic Radiology
1320 E DIVISION
Mount Vernon, WA 98274
  • Reassigned Medicare billing, Alaska and Washington enrollments
  • 40 clinicians in this Medicare group
NPI 1043328636 (360) 424-6161
Bellingham Advanced Medical Imaging LLC
1,815 mi
Diagnostic Radiology
1344 KING ST STE 101
Bellingham, WA 98229
  • Reassigned Medicare billing, Alaska and Washington enrollments
  • 46 clinicians in this Medicare group
NPI 1730605965 (360) 424-6161
Fairbanks Medical Imaging LLC
3,076 mi
Diagnostic Radiology
2310 PEGER RD, SUITE 102
Fairbanks, AK 99709
  • Reassigned Medicare billing, Alaska and Washington enrollments
  • 46 clinicians in this Medicare group
NPI 1528360625 (360) 424-6161

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Cascade Valley Hospital

Acute Care Hospitals · Arlington, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500060
Location330 S Stillaguamish AveArlington, WA 98223 · Snohomish County
Emergency services Birthing friendly

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTONIA BANNISTER
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 837
LITTLE ROCK, AR 72205
Pulaski County (501) 526-1876
QUY PHAM MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 837
LITTLE ROCK, AR 72205
Pulaski County (501) 526-1876
WINSON CHEE MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 837
LITTLE ROCK, AR 72205
Pulaski County (501) 526-1876
DR. HAYDEN CARL HAIRSTON MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 837
LITTLE ROCK, AR 72205
Pulaski County (501) 526-1876
JOSHUA HAGOOD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 837
LITTLE ROCK, AR 72205
Pulaski County (501) 526-6020
BREYANNA MICHELLE DULANEY MD, MPH
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 837
LITTLE ROCK, AR 72205
Pulaski County (501) 526-1876
LAUREN GAWEY MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 837
LITTLE ROCK, AR 72205
Pulaski County (501) 526-1876
GRAYSON TYLER GLENN MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 837
LITTLE ROCK, AR 72205
Pulaski County (501) 626-1876

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 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.

Where is Nicole Sullivan located?

Nicole Sullivan practices at 4301 W Markham St # 837, Little Rock, AR 72205. The listed phone number is (501) 526-6020.

What is Nicole Sullivan's specialty?

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

Is Nicole Sullivan enrolled in Medicare?

Yes. Nicole 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 Nicole Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Sullivan reassigns Medicare benefits to 6 organizations: Whidbey Island Public Hospital District (Bellevue, WA), North Star Medical Imaging PLLC (Mount Vernon, WA), Skagit Radiology Inc P S (Mount Vernon, WA), Skagit Digital Imaging LLC (Mount Vernon, WA), Bellingham Advanced Medical Imaging LLC (Bellingham, WA) and 1 more organization, listed in the Medicare section above. 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 Nicole Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Sullivan affiliated with any hospitals?

According to CMS data, Nicole Sullivan is affiliated with Skagit Valley Hospital and Cascade Valley Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Sullivan was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.