MICHAEL JOHN SULLIVAN AGACNP
NPI 1760299267
Nurse Practitioner - Acute Care in Bridgeport, CT

Q: What is Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1760299267. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Q: What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 December 17, 2024PECOS Enrolled

267 GRANT ST, BRIDGEPORT, CT 06610(203) 384-3000 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael John Sullivan Agacnp NPPES

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

MICHAEL JOHN SULLIVAN AGACNP (NPI 1760299267) is an individual acute care provider in Bridgeport, Connecticut, licensed in Connecticut (14369) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1760299267

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameMICHAEL JOHN SULLIVANCredential: AGACNP

Location Address267 GRANT STBridgeport, CT 06610-2870

Mailing Address267 Grant StBridgeport, CT 06610-2870

Phone(203) 384-3000

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 17, 2024

Last NPPES UpdateJanuary 16, 2025

NPPES CertifiedJanuary 16, 2025

✔ NPI 1760299267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CT · 14369

267 GRANT ST, Bridgeport, CT 06610

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael John Sullivan Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789105719

PECOS Enrollment IDI20250306002970

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 06610 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

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.

MR. ALEX SCOTT CADAN PA-C

Physician Assistant (Surgical)