MRS. LISA MARIE SULLIVAN P.A.
NPI 1891031324
Physician Assistant - Medical in Pittsburgh, PA

Active since January 03, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
110 FORT COUCH RD, SUITE 203, PITTSBURGH, PA 15241(412) 831-3300 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lisa Marie Sullivan P.a. NPPES

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

MRS. LISA MARIE SULLIVAN P.A. (NPI 1891031324) is an individual medical provider in Pittsburgh, Pennsylvania and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1891031324
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. LISA MARIE SULLIVANCredential: P.A.
Location Address110 FORT COUCH RD, SUITE 203Pittsburgh, PA 15241-1030
Mailing Address721 Roselawn Ave, Unit C6Mt Lebanon, PA 15228-2260 · (716) 523-4048
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 3, 2013
Last NPPES UpdateJanuary 31, 2014
NPI 1891031324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
110 FORT COUCH RD, Pittsburgh, PA 15241

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. Lisa Marie Sullivan P.a. 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 ID3779712187
PECOS Enrollment IDI20140205001534
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Dentist (Endodontics)
110 FORT COUCH RD
PITTSBURGH, PA 15241
Dermatology
110 FORT COUCH RD, SUITE 203
PITTSBURGH, PA 15241
Dermatology
110 FORT COUCH RD, SUITE 203
PITTSBURGH, PA 15241
Counselor (Professional)
110 FORT COUCH RD
PITTSBURGH, PA 15241
Obstetrics & Gynecology
110 FORT COUCH RD, 2D FLOOR
PITTSBURGH, PA 15241
Psychologist (Clinical)
110 FORT COUCH RD, SUITE G-200
PITTSBURGH, PA 15241
Psychologist (Clinical)
110 FORT COUCH RD
PITTSBURGH, PA 15241
Counselor (Professional)
110 FORT COUCH RD, STE. 201
PITTSBURGH, PA 15241

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 Lisa Sullivan's NPI number?

The NPI number for Lisa Sullivan is 1891031324. It was assigned to this individual provider in the NPPES registry on January 3, 2013.

Where is Lisa Sullivan located?

Lisa Sullivan practices at 110 Fort Couch Rd Suite 203, Pittsburgh, PA 15241. The listed phone number is (412) 831-3300.

What is Lisa Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lisa Sullivan enrolled in Medicare?

Yes. Lisa 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 Lisa Sullivan was last updated on January 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.