1. Home
  2. Directory
  3. Massachusetts
  4. East Boston
  5. Registered Nurse
  6. NPI Profile

TYLER MATTHEW SULLIVAN RN
NPI 1750922449
Registered Nurse - Psychiatric/Mental Health, Adult in East Boston, MA

Active since October 03, 2019PECOS EnrolledAccepts Medicare Assignment
14 PORTER ST, EAST BOSTON, MA 02128(617) 569-3189 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tyler Matthew Sullivan Rn NPPES

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

TYLER MATTHEW SULLIVAN RN (NPI 1750922449) is an individual psychiatric/mental health, adult provider in East Boston, Massachusetts, licensed in Massachusetts (RN2295420) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1750922449
Entity TypeIndividualMale
Primary Taxonomy163WP0809X
Provider Legal NameTYLER MATTHEW SULLIVANCredential: RN
Location Address14 PORTER STEast Boston, MA 02128
Mailing Address178 Cedar StWellesley, MA 02481-5513 · (978) 912-1967
Phone(617) 569-3189
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 3, 2019
✔ NPI 1750922449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in MA · RN2295420
14 PORTER ST, East Boston, MA 02128
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

Tyler Matthew Sullivan Rn 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 ID345651931
PECOS Enrollment IDI20201203001804
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

2

Medicare enrollment records show Tyler Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Suffolk Community Services Inc.
Same address
Clinic/Center
14 PORTER ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • 22 clinicians in this Medicare group
NPI 1740209881 (617) 569-3189
Newton-Wellesley Psychiatry
11 mi
Psychiatry
40 WALNUT ST STE 302
Wellesley, MA 02481
  • Reassigned Medicare billing, Massachusetts enrollment
  • 21 clinicians in this Medicare group
NPI 1427029297 (617) 332-2047

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

Areas of Expertise CMS Part B claims 5

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 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.
185 services72 patients
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.
166 services49 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.
129 services47 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
113 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
113 services19 patients

Hospital Affiliations CMS Care Compare

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

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

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.

CAROLINE CATHERINE DEL REY MT-BC
Music Therapist
14 PORTER ST
BOSTON, MA 02128
Suffolk County (617) 569-3189
ELIZABETH C. MAURO
Social Worker (Clinical)
14 PORTER ST
EAST BOSTON, MA 02128
Suffolk County (617) 797-3317
MS. LEIA ZITOLA LCSW
Social Worker
14 PORTER ST
EAST BOSTON, MA 02128
Suffolk County (617) 569-3189
NGA HOANG BUI
Counselor (Mental Health)
14 PORTER ST
EAST BOSTON, MA 02128
Suffolk County (617) 912-7573
JOHN JOSEPH JANKO PH.D
Psychologist
14 PORTER ST
EAST BOSTON, MA 02128
Suffolk County (617) 569-3189
JOHN JOSEPH MANGANARO LCSW
Social Worker (Clinical)
14 PORTER ST
EAST BOSTON, MA 02128
Suffolk County (617) 912-7587
MR. JUAN CARLOS GORLIER LICSW
Social Worker
14 PORTER ST
EAST BOSTON, MA 02128
Suffolk County (617) 912-7500
STEPHANIE ANN GONCALVES
Case Manager/Care Coordinator
14 PORTER ST
EAST BOSTON, MA 02128
Suffolk County (617) 569-3189

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 Tyler Sullivan's NPI number?

The NPI number for Tyler Sullivan is 1750922449. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Where is Tyler Sullivan located?

Tyler Sullivan practices at 14 Porter St, East Boston, MA 02128. The listed phone number is (617) 569-3189.

What is Tyler Sullivan's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Is Tyler Sullivan enrolled in Medicare?

Yes. Tyler 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 Tyler Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Sullivan reassigns Medicare benefits to 2 organizations: North Suffolk Community Services Inc. (East Boston, MA) and Newton-Wellesley Psychiatry (Wellesley, MA). 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 Tyler Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Tyler Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tyler Sullivan affiliated with any hospitals?

According to CMS data, Tyler Sullivan is affiliated with Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Sullivan was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.