SHANNON SULLIVAN
NPI 1811755044
Nurse Practitioner - Family in Reading, PA
About Shannon Sullivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON SULLIVAN (NPI 1811755044) is an individual family provider in Reading, Pennsylvania, licensed in Pennsylvania (SP02415) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.
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 (PECOS)
Shannon Sullivan 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 19601 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shannon Sullivan's NPI number?
The NPI number for Shannon Sullivan is 1811755044. It was assigned to this individual provider in the NPPES registry on March 12, 2024.
Where is Shannon Sullivan located?
Shannon Sullivan practices at 1555 Schuylkill Ave, Reading, PA 19601. The listed phone number is (610) 378-0107.
What is Shannon Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Sullivan enrolled in Medicare?
Yes. Shannon Sullivan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shannon Sullivan was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shannon Sullivan · NPI 1811755044
Family physician in Reading, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 12, 2024.
## Identity
- **NPI:** 1811755044 (Entity type: Individual)
- **Enumerated:** March 12, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP02415 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1555 SCHUYLKILL AVE, Reading, PA 19601-1312
- **Phone:** (610) 378-0107
## 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:** March 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811755044) · Data from the CMS NPPES public registry.