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KAYLA BETH SULLIVAN
NPI 1891650115
Nurse Practitioner - Family in Glasgow, KY

Active since December 18, 2025PECOS Enrolled
1412 N RACE ST, GLASGOW, KY 42141(270) 629-6333 Get Directions Write a Review

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

About Kayla Beth Sullivan NPPES

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

KAYLA BETH SULLIVAN (NPI 1891650115) is an individual family provider in Glasgow, Kentucky, licensed in Kentucky (4048978) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1891650115
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAYLA BETH SULLIVAN
Location Address1412 N RACE STGlasgow, KY 42141-3473
Mailing Address1412 N Race StGlasgow, KY 42141-3473 · (270) 629-6333 · Fax (270) 629-6334
Phone(270) 629-6333
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
✔ NPI 1891650115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 4048978
1412 N RACE ST, Glasgow, KY 42141
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Beth Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870079288
PECOS Enrollment IDI20260115000398
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL L PENDLETON SR. APRN
Nurse Practitioner (Family)
1412 N RACE ST
GLASGOW, KY 42141
Barren County (270) 629-6333
PENDLETON FAMILY CARE
Nurse Practitioner (Family)
1412 N RACE ST
GLASGOW, KY 42141
Barren County (270) 629-6333

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 Kayla Sullivan's NPI number?

The NPI number for Kayla Sullivan is 1891650115. It was assigned to this individual provider in the NPPES registry on December 18, 2025.

Where is Kayla Sullivan located?

Kayla Sullivan practices at 1412 N Race St, Glasgow, KY 42141. The listed phone number is (270) 629-6333.

What is Kayla Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kayla Sullivan enrolled in Medicare?

Yes. Kayla Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kayla Sullivan was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.