Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ELEXA SULLIVAN PA
NPI 1760359400
Physician Assistant in Lebanon, TN

Active since October 18, 2025PECOS Enrolled
702 S CUMBERLAND ST, LEBANON, TN 37087(615) 444-2121(615) 547-6474 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Nov 20, 2025 (2 updates tracked since 2025).

About Elexa Sullivan Pa NPPES

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

ELEXA SULLIVAN PA (NPI 1760359400) is an individual physician assistant in Lebanon, Tennessee, licensed in Tennessee (6839) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2025).

NPPES Registry Identity

NPI1760359400
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELEXA SULLIVANCredential: PA
Location Address702 S CUMBERLAND STLebanon, TN 37087-4110
Mailing Address702 S Cumberland StLebanon, TN 37087-4110 · (615) 444-2121 · Fax (615) 547-6474
Fax(615) 547-6474
Sole ProprietorNo
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2025
Enumeration DateOctober 18, 2025
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1760359400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 6839
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

702 S CUMBERLAND ST, Lebanon, TN 37087

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2365913225
PECOS Enrollment IDI20260602002483
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 37087 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 7

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

Physician Assistant
702 S CUMBERLAND ST
LEBANON, TN 37087
Physician Assistant
702 S CUMBERLAND ST
LEBANON, TN 37087
Physician Assistant
702 S CUMBERLAND ST
LEBANON, TN 37087
Nurse Practitioner (Family)
702 S CUMBERLAND ST
LEBANON, TN 37087
Nurse Practitioner (Family)
702 S CUMBERLAND ST
LEBANON, TN 37087
Clinic/Center (Urgent Care)
702 S CUMBERLAND ST
LEBANON, TN 37087
Nurse Practitioner (Family)
702 S CUMBERLAND ST
LEBANON, TN 37087

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 Elexa Sullivan's NPI number?

The NPI number for Elexa Sullivan is 1760359400. It was assigned to this individual provider in the NPPES registry on October 18, 2025.

Where is Elexa Sullivan located?

Elexa Sullivan practices at 702 S Cumberland St, Lebanon, TN 37087. The listed phone number is (615) 444-2121.

What is Elexa Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elexa Sullivan enrolled in Medicare?

Yes. Elexa Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elexa Sullivan was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.