MRS. KENDRA LYNN SULLIVAN FNP-BC
NPI 1780045526
Nurse Practitioner - Family in Chatham, IL
About Mrs. Kendra Lynn Sullivan Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KENDRA LYNN SULLIVAN FNP-BC (NPI 1780045526) is an individual family provider in Chatham, Illinois, licensed in Illinois (209013990) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kendra Lynn Sullivan Fnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62629 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHATHAM, IL 62629
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 Kendra Sullivan's NPI number?
The NPI number for Kendra Sullivan is 1780045526. It was assigned to this individual provider in the NPPES registry on March 7, 2016.
Where is Kendra Sullivan located?
Kendra Sullivan practices at 101 E Plummer Blvd, Chatham, IL 62629. The listed phone number is (217) 483-3487.
What is Kendra Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kendra Sullivan enrolled in Medicare?
Yes. Kendra 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.
When was this NPI record last updated?
The NPPES record for Kendra Sullivan was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mrs. Kendra Lynn Sullivan, FNP-BC · NPI 1780045526
Family physician in Chatham, Illinois. Individual provider, active in the CMS NPPES registry since March 7, 2016.
## Identity
- **NPI:** 1780045526 (Entity type: Individual)
- **Enumerated:** March 7, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209013990 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 E PLUMMER BLVD, Chatham, IL 62629-8047
- **Phone:** (217) 483-3487
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Southern Illinois University School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** March 9, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1780045526) · Data from the CMS NPPES public registry.