MRS. MARTHA J SULLIVAN CNP CERTIFIED NURSE
NPI 1932212800
Nurse Practitioner in Rockford, IL
About Mrs. Martha J Sullivan Cnp Certified Nurse NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARTHA J SULLIVAN CNP CERTIFIED NURSE (NPI 1932212800) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209001036) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Martha J Sullivan Cnp Certified Nurse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Martha Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Simpsonville, SC 29681
- Reassigned Medicare billing, South Carolina enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCKFORD, IL 61103
ROCKFORD, IL 61103
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 Martha Sullivan's NPI number?
The NPI number for Martha Sullivan is 1932212800. It was assigned to this individual provider in the NPPES registry on August 16, 2006.
Where is Martha Sullivan located?
Martha Sullivan practices at 2300 N Rockton Ave Rockford Health Physicians, Rockford, IL 61103. The listed phone number is (815) 971-2000.
What is Martha Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Martha Sullivan enrolled in Medicare?
Yes. Martha Sullivan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Martha Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martha Sullivan reassigns Medicare benefits to Pruitthealth Hospice, Inc. (Simpsonville, SC). The 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 Martha Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Martha Sullivan was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mrs. Martha J Sullivan, CNP CERTIFIED NURSE · NPI 1932212800
Nurse Practitioner physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1932212800 (Entity type: Individual)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209001036 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2300 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, Rockford, IL 61103-3619
- **Phone:** (815) 971-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pruitthealth Hospice, Inc. (NPI 1184860306, Simpsonville, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2014
- **Other identifiers:** Medicare UPIN P15635; Medicare PIN IL1478002 (IL); Medicare PIN K20832 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1932212800) · Data from the CMS NPPES public registry.