KIMBERLY SULLIVAN PA
NPI 1902082456
Physician Assistant in Altoona, WI

Active since January 15, 2008PECOS EnrolledAccepts Medicare Assignment
1200 OAKLEAF WAY STE A, ALTOONA, WI 54720(715) 832-1400(715) 832-4187 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Feb 10, 2023, Feb 13, 2017 and 1 more (4 updates tracked since 2017).

About Kimberly Sullivan Pa NPPES

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

KIMBERLY SULLIVAN PA (NPI 1902082456) is an individual physician assistant in Altoona, Wisconsin, licensed in Wisconsin (3971) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Oakleaf Surgical Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902082456
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY SULLIVANCredential: PA
Location Address1200 OAKLEAF WAY STE AAltoona, WI 54720-2217
Mailing Address1200 Oakleaf Way Ste AAltoona, WI 54720-2217 · (715) 832-1400 · Fax (715) 832-4187
Fax(715) 832-4187
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 15, 2008
Last NPPES UpdateJune 5, 20264 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1902082456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 3971
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 466 (OK)
1200 OAKLEAF WAY STE A, Altoona, WI 54720

Accepted 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

Kimberly Sullivan Pa 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 ID6709169634
PECOS Enrollment IDI20170220000695
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
31 services29 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
23 services20 patients

Hospital Affiliations CMS Care Compare

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

Oakleaf Surgical Hospital

Acute Care Hospitals · Altoona, WI
OwnershipPhysician
CMS Certification Number520196
Location1000 Oakleaf WayAltoona, WI 54720 · Eau Claire County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54720 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

Orthopaedic Surgery
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Physician Assistant
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Neurological Surgery
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Nurse Practitioner (Adult Health)
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Orthopaedic Surgery
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Physician Assistant
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Nurse Practitioner
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Podiatrist
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720

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 Kimberly Sullivan's NPI number?

The NPI number for Kimberly Sullivan is 1902082456. It was assigned to this individual provider in the NPPES registry on January 15, 2008.

Where is Kimberly Sullivan located?

Kimberly Sullivan practices at 1200 Oakleaf Way Ste A, Altoona, WI 54720. The listed phone number is (715) 832-1400.

What is Kimberly Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Sullivan enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan list Kimberly Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberly Sullivan affiliated with any hospitals?

According to CMS data, Kimberly Sullivan is affiliated with Oakleaf Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Sullivan was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.