ELISE SULLIVAN
NPI 1932750874
Nurse Practitioner - Family in Saint Louis, MO

Q: What is Elise Sullivan's NPI number?

The NPI number for Elise Sullivan is 1932750874. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Q: What is Elise 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 Elise Sullivan was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 September 23, 2019PECOS EnrolledAccepts Medicare Assignment

81.57/100

CMS Quality Rating

3635 VISTA AVE, SAINT LOUIS, MO 63110(314) 268-5558 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2024, Oct 23, 2019, Sep 23, 2019 (3 updates tracked since 2019).

On this page

About Elise Sullivan NPPES

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

ELISE SULLIVAN (NPI 1932750874) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2019044085) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Saint Louis University School Of Medicine (2018).

NPPES Registry Identity

NPI1932750874

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELISE SULLIVAN

Location Address3635 VISTA AVESaint Louis, MO 63110-2539

Mailing Address2763 Tiara DrArnold, MO 63010-3027 · (314) 517-6078 · Fax (314) 268-5786

Phone(314) 268-5558

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2018

Enumeration DateSeptember 23, 2019

Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1932750874 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 MO · 2019044085

3635 VISTA AVE, Saint Louis, MO 63110

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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, Oscar Insurance Company.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

Elise Sullivan 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 ID4789017500

PECOS Enrollment IDI20191210001201

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 3

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.

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.

86 services58 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services17 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.09

Promoting Interoperability

100

Improvement Activities

Cost

54.28

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.

DR. CHRIS C.W. CHAN M.D.

Internal Medicine

3635 VISTA AVE
SAINT LOUIS, MO 63110

St. Louis City (314) 577-8000

STEVEN NGUYEN M.D.

Internal Medicine

3635 VISTA AVE
SAINT LOUIS, MO 63110

St. Louis City (314) 577-8000

DR. PUJAN H PATEL M.D. BS

Internal Medicine

3635 VISTA AVE, 7TH FLOOR DESLOGE TOWER
SAINT LOUIS, MO 63110

St. Louis City (314) 577-8856

MICHAEL RYAN CAVALIER

Registered Nurse (Emergency)

3635 VISTA AVE
SAINT LOUIS, MO 63110

St. Louis City (314) 577-8777

JANET LAQUET PHARMD

Pharmacist (Oncology)

3635 VISTA AVE
SAINT LOUIS, MO 63110

St. Louis City (314) 257-8516

TENET HEALTHSYSTEM SL, INC.

General Acute Care Hospital

3635 VISTA AVE
SAINT LOUIS, MO 63110

St. Louis City (314) 577-8000

NECAT HAVLIOGLU MD

Pathology (Anatomic Pathology & Clinical Pathology)

3635 VISTA AVE, SAINT LOUIS UNIVERSITY PATHOLOGY SERVICES
SAINT LOUIS, MO 63110

St. Louis City (314) 577-8475

DR. DANIEL KEVIN HOLT MD

Radiology (Diagnostic Radiology)

3635 VISTA AVE
SAINT LOUIS, MO 63110

St. Louis City (314) 268-5783

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 Elise Sullivan's NPI number?

The NPI number for Elise Sullivan is 1932750874. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Elise Sullivan located?

Elise Sullivan practices at 3635 Vista Ave, Saint Louis, MO 63110. The listed phone number is (314) 268-5558.

What is Elise Sullivan's specialty?

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

Is Elise Sullivan enrolled in Medicare?

Yes. Elise 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 Elise Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Elise 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 Elise Sullivan affiliated with any hospitals?

According to CMS data, Elise Sullivan is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Elise Sullivan was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.