COREY SULLIVAN CRNA
NPI 1790173557
Nurse Anesthetist, Certified Registered in Quincy, IL
About Corey Sullivan Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COREY SULLIVAN CRNA (NPI 1790173557) is an individual nurse anesthetist, certified registered in Quincy, Illinois, licensed in Illinois (209012309) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Rush Medical College Of Rush University (2014).
NPPES Registry Identity
Specialties & Licenses
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
Corey Sullivan Crna 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.
Medicare Billing Reassignment
Medicare enrollment records show Corey Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Quincy, IL 62301
- Reassigned Medicare billing, Illinois enrollment
- 127 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Blessing Hospital
Acute Care Hospitals · Quincy, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62301 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.
QUINCY, IL 62301
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 Corey Sullivan's NPI number?
The NPI number for Corey Sullivan is 1790173557. It was assigned to this individual provider in the NPPES registry on January 2, 2015.
Where is Corey Sullivan located?
Corey Sullivan practices at 1005 Broadway St, Quincy, IL 62301. The listed phone number is (217) 223-8400.
What is Corey Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Corey Sullivan enrolled in Medicare?
Yes. Corey 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 organization bills Medicare for Corey Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Corey Sullivan reassigns Medicare benefits to Blessing Hospital (Quincy, IL). The 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 Corey Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Corey Sullivan affiliated with any hospitals?
According to CMS data, Corey Sullivan is affiliated with Blessing Hospital.
When was this NPI record last updated?
The NPPES record for Corey Sullivan was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.
# Corey Sullivan, CRNA · NPI 1790173557
Nurse Anesthetist, Certified Registered physician in Quincy, Illinois. Individual provider, active in the CMS NPPES registry since January 2, 2015.
## Identity
- **NPI:** 1790173557 (Entity type: Individual)
- **Enumerated:** January 2, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209012309 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1005 BROADWAY ST, Quincy, IL 62301-2834
- **Phone:** (217) 223-8400 · **Fax:** (217) 223-9945
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Blessing Hospital (NPI 1255515342, Quincy, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 2014
## Record status
- **NPPES last updated:** October 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790173557) · Data from the CMS NPPES public registry.