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MRS. TRACY SULLIVAN N.P.
NPI 1902989957
Nurse Practitioner - Perinatal in Islandia, NY

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
3001 EXPRESSWAY DRIVE NORTH, SUITE #116, ISLANDIA, NY 11749(631) 292-6747(631) 292-6767 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tracy Sullivan N.p. NPPES

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

MRS. TRACY SULLIVAN N.P. (NPI 1902989957) is an individual perinatal provider in Islandia, New York, licensed in New York (F390010) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1988).

NPPES Registry Identity

NPI1902989957
Entity TypeIndividualFemale
Primary Taxonomy363LP1700X
Provider Legal NameMRS. TRACY SULLIVANCredential: N.P.
Location Address3001 EXPRESSWAY DRIVE NORTH, SUITE #116Islandia, NY 11749
Mailing Address3001 Expressway Drive North, Suite #116Islandia, NY 11749 · (631) 292-6747 · Fax (631) 292-6767
Phone(631) 292-6747
Fax(631) 292-6767
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1988
Enumeration DateOctober 23, 2006
Last NPPES UpdateJanuary 23, 2013
✔ NPI 1902989957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PerinatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP1700X
License✔ Licensed in NY · F390010
3001 EXPRESSWAY DRIVE NORTH, Islandia, NY 11749
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedQ15171NY

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. Tracy Sullivan N.p. 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 ID42488702
PECOS Enrollment IDI20170728001111
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
47 services47 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
43 services43 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
39 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services23 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11749 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 9

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

DR. WILLIAM E LAWSON M.D.
Internal Medicine (Cardiovascular Disease)
3001 EXPRESSWAY DRIVE NORTH
ISLANDIA, NY 11749
Suffolk County (631) 444-9600
MRS. BARBARA E. PRINCIPIO N.P.
Nurse Practitioner (Family)
3001 EXPRESSWAY DRIVE NORTH, SUITE #116
ISLANDIA, NY 11749
Suffolk County (631) 292-6747
DR. KATHLEEN STERGIOPOULOS M.D.
Internal Medicine (Cardiovascular Disease)
3001 EXPRESSWAY DRIVE NORTH
ISLANDIA, NY 11749
Suffolk County (631) 444-1069
DR. ERNST RAEDER M.D.
Internal Medicine (Cardiovascular Disease)
3001 EXPRESSWAY DRIVE NORTH
ISLANDIA, NY 11749
Suffolk County (631) 444-9600
LAURA A. DOTI N.P.
Nurse Practitioner
3001 EXPRESSWAY DRIVE NORTH, SUITE #116
ISLANDIA, NY 11749
Suffolk County (631) 292-6747
MR. HOWARD NOVOTNY M.D.
Internal Medicine (Cardiovascular Disease)
3001 EXPRESSWAY DRIVE NORTH
ISLANDIA, NY 11749
Suffolk County (631) 444-9600
MRS. LETICIA NAZAIRE ANP
Nurse Practitioner (Adult Health)
3001 EXPRESSWAY DRIVE NORTH, SUITE 200 B
ISLANDIA, NY 11749
Suffolk County (631) 444-3497
DR. JORDAN KATZ M.D.
Internal Medicine (Cardiovascular Disease)
3001 EXPRESSWAY DRIVE NORTH
ISLANDIA, NY 11749
Suffolk County (631) 444-9600

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 Tracy Sullivan's NPI number?

The NPI number for Tracy Sullivan is 1902989957. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Tracy Sullivan located?

Tracy Sullivan practices at 3001 Expressway Drive North Suite #116, Islandia, NY 11749. The listed phone number is (631) 292-6747.

What is Tracy Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Perinatal, with taxonomy code 363LP1700X.

Is Tracy Sullivan enrolled in Medicare?

Yes. Tracy 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.

Is Tracy Sullivan affiliated with any hospitals?

According to CMS data, Tracy Sullivan is affiliated with North Shore University Hospital and John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Tracy Sullivan was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.