HENSON SULLIVAN CAA
NPI 1831820133
Anesthesiologist Assistant in Charleston, SC

Q: What is Henson Sullivan's NPI number?

The NPI number for Henson Sullivan is 1831820133. It was assigned to this individual provider in the NPPES registry on June 19, 2022.

Q: What is Henson Sullivan's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Henson Sullivan was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since June 19, 2022Accepts Medicare Assignment

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Henson Sullivan Caa NPPES

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

HENSON SULLIVAN CAA (NPI 1831820133) is an individual anesthesiologist assistant in Charleston, South Carolina, licensed in Missouri (2022039543) and active in the NPI registry since June 2022. She maintains a secondary practice location in Kansas City and is a graduate of Nova Southeastern College Of Osteo Medicine (2022).

NPPES Registry Identity

NPI1831820133

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameHENSON SULLIVANCredential: CAA

Location Address171 ASHLEY AVECharleston, SC 29425-4619

Mailing Address2401 Gillham Rd, Provider Enrollment DepartmentKansas City, MO 64108-4619 · (816) 234-3000

Phone(843) 792-1414

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2022

Enumeration DateJune 19, 2022

Last NPPES UpdateJuly 18, 2025

NPPES CertifiedJuly 18, 2025

✔ NPI 1831820133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in MO · 2022039543

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

171 ASHLEY AVE, Charleston, SC 29425

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Secondary Practice Location 1

Location 12401 Gillham RdKansas City, MO 64108-4619 · Phone (816) 234-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica.Insurance ›

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

Henson Sullivan Caa 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.

PECOS PAC ID3779954524

PECOS Enrollment IDI20260206000627

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.

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