LAURA ROSE SULLIVAN
NPI 1942991187
Nurse Practitioner - Family in Wilmington, NC

Q: What is Laura Sullivan's NPI number?

The NPI number for Laura Sullivan is 1942991187. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Q: What is Laura 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 Laura Sullivan was last updated on January 22, 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 May 18, 2023PECOS Enrolled

4600 OLEANDER DR, WILMINGTON, NC 28403(910) 392-1921 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Laura Rose Sullivan NPPES

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

LAURA ROSE SULLIVAN (NPI 1942991187) is an individual family provider in Wilmington, North Carolina, licensed in North Carolina (5018138) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942991187

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLAURA ROSE SULLIVAN

Location Address4600 OLEANDER DRWilmington, NC 28403-5149

Mailing Address4600 Oleander DrWilmington, NC 28403-5149 · (910) 392-1921

Phone(910) 392-1921

Sole ProprietorNo

Enumeration DateMay 18, 2023

Last NPPES UpdateJanuary 22, 2024

NPPES CertifiedJanuary 19, 2024

✔ NPI 1942991187 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 NC · 5018138

4600 OLEANDER DR, Wilmington, NC 28403

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Rose Sullivan 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.

Medicare Billing Reassignment

Medicare enrollment records show Laura Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainstreet And Kidsstreet Of North Carolina PLLC

156 mi

Urgent Care

2151 N CHURCH ST
Burlington, NC 27217

Reassigned Medicare billing, North Carolina enrollment
106 clinicians in this Medicare group

NPI 1043170558 (336) 329-0959

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.

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.

28 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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