JENNIFER E. SULLIVAN MD
NPI 1942903869
Family Medicine in Salt Lake City, UT

Q: What is Jennifer Sullivan's NPI number?

The NPI number for Jennifer Sullivan is 1942903869. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Jennifer Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Sullivan was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 22, 2023PECOS Enrolled

375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108(801) 824-1886 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2024, Mar 22, 2023 (2 updates tracked since 2023).

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About Jennifer E. Sullivan Md NPPES

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

JENNIFER E. SULLIVAN MD (NPI 1942903869) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (14167069-1205) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Kane County Hospital, and is a graduate of University Of Massachusetts Medical School (2023).

NPPES Registry Identity

NPI1942903869

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJENNIFER E. SULLIVANCredential: MD

Location Address375 S CHIPETA WAY STE ASalt Lake City, UT 84108-1261

Mailing Address375 S Chipeta Way Ste ASalt Lake City, UT 84108-1261

Phone(801) 824-1886

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2023

Enumeration DateMarch 22, 2023

Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2024

✔ NPI 1942903869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 14167069-1205

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.

375 S CHIPETA WAY STE A, Salt Lake City, UT 84108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer E. Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698206456

PECOS Enrollment IDI20260909004727

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.

Kane County Hospital

Critical Access Hospitals · Kanab, UT

OwnershipGovernment - Hospital District or Authority

CMS Certification Number461309

Location355 North Main StreetKanab, UT 84741 · Kane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

JONATHAN ADAM CALVERT

Student in an Organized Health Care Education/Training Program