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

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: August 02, 2026.

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

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.

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
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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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).

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.

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
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766
MR. JAMES FEARNLEY
Physician Assistant
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7234
MR. BRIAN TRAINOR KASAVANA PA
Physician Assistant
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Salt Lake County (801) 585-0187
JESSICA J. MORALES MD
Family Medicine
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
JUSTINE B. LY MD
Family Medicine
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-3411
DR. KAITLIN E. MCLEOD MD
Family Medicine
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7234
CRUZ TORO GUTIERREZ MD
Family Medicine
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7234
MADISON ASHLEE BRADLEY PHYSICIAN ASSISTANT
Physician Assistant
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766

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 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.

Where is Jennifer Sullivan located?

Jennifer Sullivan practices at 375 S Chipeta Way Ste A, Salt Lake City, UT 84108. The listed phone number is (801) 824-1886.

What is Jennifer Sullivan's specialty?

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

Is Jennifer Sullivan enrolled in Medicare?

Yes. Jennifer Sullivan is registered in the Medicare PECOS enrollment system.

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 22 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.