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MOLLIE R SULLIVAN FNP-BC
NPI 1891686218
Nurse Practitioner - Family in Albany, NY

Active since July 14, 2025PECOS EnrolledAccepts Medicare Assignment
315 S MANNING BLVD, ALBANY, NY 12208(518) 525-8600(518) 525-6815 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mollie R Sullivan Fnp-bc NPPES

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

MOLLIE R SULLIVAN FNP-BC (NPI 1891686218) is an individual family provider in Albany, New York, licensed in New York (357292) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1891686218
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMOLLIE R SULLIVANCredential: FNP-BC
Location Address315 S MANNING BLVDAlbany, NY 12208-1707
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Phone(518) 525-8600
Fax(518) 525-6815
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1891686218 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 NY · 357292
315 S MANNING BLVD, Albany, NY 12208
Open in Google Maps ↗

Secondary Practice Location 1

Location 12215 Burdett AveTroy, NY 12180-2466 · Phone (518) 525-8600 · Fax (518) 271-3440

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

Mollie R Sullivan Fnp-bc 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 ID8123523586
PECOS Enrollment IDI20250925003671
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 Billing Reassignments

2

Medicare enrollment records show Mollie Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Peter's Hospital Of The City Of Albany
Same address
General Acute Care Hospital
315 SOUTH MANNING BLVD
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
NPI 1518042357 (518) 525-1550
Samaritan Hospital Of Troy, New York
8.5 mi
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
NPI 1043267727 (518) 271-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

ARUNIMA RAJBHANDARY MD
Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1550
ST PETER'S LIFELINE
Emergency Response System Companies
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-6024
ABIGAIL N RUDASILL PHARM D
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1616
MARIA SOBIERAJ
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 381-6325
NICOLETTA SERAFINA PACILLI PA
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-5634
DR. SAHAR AMERY M.D.
Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1550
DAVID JAHANGIR MD
Radiology (Diagnostic Radiology)
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1401
MRS. LYNN ANN CRAFT PA
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-5776

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 Mollie Sullivan's NPI number?

The NPI number for Mollie Sullivan is 1891686218. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Mollie Sullivan located?

Mollie Sullivan practices at 315 S Manning Blvd, Albany, NY 12208. The listed phone number is (518) 525-8600.

What is Mollie Sullivan's specialty?

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

Is Mollie Sullivan enrolled in Medicare?

Yes. Mollie 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 organizations bill Medicare for Mollie Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mollie Sullivan reassigns Medicare benefits to 2 organizations: St. Peter's Hospital Of The City Of Albany (Albany, NY) and Samaritan Hospital Of Troy, New York (Troy, NY). Each 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 Mollie Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mollie Sullivan affiliated with any hospitals?

According to CMS data, Mollie Sullivan is affiliated with St Peter's Hospital.

When was this NPI record last updated?

The NPPES record for Mollie Sullivan was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.