BETHANY S. SULLIVAN APRN
NPI 1962740969
Nurse Practitioner - Family in Prestonsburg, KY
About Bethany S. Sullivan Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY S. SULLIVAN APRN (NPI 1962740969) is an individual family provider in Prestonsburg, Kentucky, licensed in Kentucky (3007834) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bethany S. Sullivan Aprn 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.
Medicare Billing Reassignments
5Medicare enrollment records show Bethany Sullivan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salyersville, KY 41465
- Reassigned Medicare billing, Kentucky enrollment
- 23 clinicians in this Medicare group
Pikeville, KY 41501
- Reassigned Medicare billing, Kentucky enrollment
- 8 clinicians in this Medicare group
Pikeville, KY 41501
- Reassigned Medicare billing, Kentucky enrollment
- 3 clinicians in this Medicare group
Pikeville, KY 41501
- Reassigned Medicare billing, Kentucky enrollment
- 4 clinicians in this Medicare group
Pikeville, KY 41501
- Reassigned Medicare billing, Kentucky enrollment
- 579 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41653 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bethany Sullivan's NPI number?
The NPI number for Bethany Sullivan is 1962740969. It was assigned to this individual provider in the NPPES registry on January 25, 2013.
Where is Bethany Sullivan located?
Bethany Sullivan practices at 4851 Ky Route 321, Prestonsburg, KY 41653. The listed phone number is (606) 886-1173.
What is Bethany Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bethany Sullivan enrolled in Medicare?
Yes. Bethany 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.
Which organizations bill Medicare for Bethany Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Sullivan reassigns Medicare benefits to 5 organizations: Frontier Behavioral Health Center PLLC (Salyersville, KY), Hager And Associates Psc (Pikeville, KY), J & J Diagnostics (Pikeville, KY), Crossroads Addiction Recovery Effort, LLC (Pikeville, KY) and Pikeville Medical Center Inc. (Pikeville, KY). Each 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 Bethany 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 Bethany Sullivan was last updated on August 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Bethany S. Sullivan, APRN · NPI 1962740969
Family physician in Prestonsburg, Kentucky. Individual provider, active in the CMS NPPES registry since January 25, 2013.
## Identity
- **NPI:** 1962740969 (Entity type: Individual)
- **Enumerated:** January 25, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3007834 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 4851 KY ROUTE 321, Prestonsburg, KY 41653-9113
- **Phone:** (606) 886-1173 · **Fax:** (606) 886-2193
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Frontier Behavioral Health Center PLLC (NPI 1295287118, Salyersville, KY); Hager And Associates Psc (NPI 1629114707, Pikeville, KY); J & J Diagnostics (NPI 1417502733, Pikeville, KY); Crossroads Addiction Recovery Effort, LLC (NPI 1942667456, Pikeville, KY); Pikeville Medical Center Inc. (NPI 1710207865, Pikeville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 16, 2017
- **Other identifiers:** Medicaid 7100229990 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1962740969) · Data from the CMS NPPES public registry.