ICEL R SULLIVAN ARNP
NPI 1770116436
Nurse Practitioner - Pediatrics in Richland, WA
About Icel R Sullivan Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ICEL R SULLIVAN ARNP (NPI 1770116436) is an individual pediatrics provider in Richland, Washington, licensed in Washington (AP61060250) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Centralia.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Icel R Sullivan Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99352 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RICHLAND, WA 99352
RICHLAND, WA 99352
RICHLAND, WA 99352
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 Icel Sullivan's NPI number?
The NPI number for Icel Sullivan is 1770116436. It was assigned to this individual provider in the NPPES registry on February 20, 2020.
Where is Icel Sullivan located?
Icel Sullivan practices at 888 Swift Blvd, Richland, WA 99352. The listed phone number is (509) 946-4611.
What is Icel Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Icel Sullivan enrolled in Medicare?
Yes. Icel Sullivan is registered in the Medicare PECOS enrollment system.
What insurance does Icel Sullivan accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Icel 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.
When was this NPI record last updated?
The NPPES record for Icel Sullivan was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Icel R Sullivan, ARNP · NPI 1770116436
Pediatrics physician in Richland, Washington. Individual provider, active in the CMS NPPES registry since February 20, 2020.
## Identity
- **NPI:** 1770116436 (Entity type: Individual)
- **Enumerated:** February 20, 2020
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP61060250 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 888 SWIFT BLVD, Richland, WA 99352-3514
- **Phone:** (509) 946-4611
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1770116436) · Data from the CMS NPPES public registry.