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NICHOLAS W SULLIVAN DO
NPI 1922560713
Family Medicine in Madison, WI

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
3209 DRYDEN DR, MADISON, WI 53704(608) 241-9020(608) 240-4237 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2022, Jun 8, 2022, Oct 22, 2021 and 2 more (5 updates tracked since 2019).

About Nicholas W Sullivan Do NPPES

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

NICHOLAS W SULLIVAN DO (NPI 1922560713) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (74439-21) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922560713
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNICHOLAS W SULLIVANCredential: DO
Location Address3209 DRYDEN DRMadison, WI 53704-3015
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 241-9020
Fax(608) 240-4237
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateOctober 19, 20225 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
✔ NPI 1922560713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 74439-21
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 74439 (WI)
3209 DRYDEN DR, Madison, WI 53704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz.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

Nicholas W Sullivan Do 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 ID5991039190
PECOS Enrollment IDI20220601001744
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

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53704 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

MARY ZEITLER MD
Student in an Organized Health Care Education/Training Program
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
MARIANA GANDOLFO BUSTAMANTE MS, RDN, CD
Dietitian, Registered
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
SAVANNAH NOELLE RIOS MD
Student in an Organized Health Care Education/Training Program
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
RICHARD L BROWN MD
Family Medicine
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
AIDAN CHENG KHODA DO
Student in an Organized Health Care Education/Training Program
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
RITA LILIANE HENIEN BYBEE DO
Family Medicine
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
ASHLEY MARIE LANZAROTTI DO
Student in an Organized Health Care Education/Training Program
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
DR. KATRINA WEIMER M.D.
Family Medicine
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020

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 Nicholas Sullivan's NPI number?

The NPI number for Nicholas Sullivan is 1922560713. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Nicholas Sullivan located?

Nicholas Sullivan practices at 3209 Dryden Dr, Madison, WI 53704. The listed phone number is (608) 241-9020.

What is Nicholas Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicholas Sullivan enrolled in Medicare?

Yes. Nicholas 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 Nicholas Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Nicholas 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 Nicholas Sullivan affiliated with any hospitals?

According to CMS data, Nicholas Sullivan is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Nicholas Sullivan was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.