KAILEE RENEE SULLIVAN APRN-CNP
NPI 1902278609
Nurse Practitioner - Family in Ada, OK

Q: What is Kailee Sullivan's NPI number?

The NPI number for Kailee Sullivan is 1902278609. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Q: What is Kailee Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kailee Sullivan was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 October 21, 2015PECOS EnrolledAccepts Medicare Assignment

721 BETTER NOW PLZ, ADA, OK 74820(580) 272-0025(580) 272-6559 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2024, Dec 15, 2021, Mar 21, 2016 (3 updates tracked since 2016).

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About Kailee Renee Sullivan Aprn-cnp NPPES

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

KAILEE RENEE SULLIVAN APRN-CNP (NPI 1902278609) is an individual family provider in Ada, Oklahoma, licensed in Oklahoma (103054) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ada, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902278609

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKAILEE RENEE SULLIVANCredential: APRN-CNP

Location Address721 BETTER NOW PLZAda, OK 74820-2279

Mailing Address721 Better Now PlzAda, OK 74820-2279 · (580) 272-0025 · Fax (580) 272-6559

Phone(580) 272-0025

Fax(580) 272-6559

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 21, 2015

Last NPPES UpdateAugust 20, 20253 updates tracked since enumeration

NPPES CertifiedAugust 20, 2025

✔ NPI 1902278609 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 OK · 103054

721 BETTER NOW PLZ, Ada, OK 74820

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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

Kailee Renee Sullivan Aprn-cnp 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 ID3476846528

PECOS Enrollment IDI20160727000227

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.

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Ada

Acute Care Hospitals · Ada, OK

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370020

Location430 North Monte VistaAda, OK 74820 · Pontotoc County

Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370028

Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

HALEY BROOKE MITCHELL

Nurse Practitioner