MRS. LAURA MARIE SULLIVAN RN, CNP
NPI 1972819324
Nurse Practitioner - Primary Care in Roseville, MN

Q: What is Laura Sullivan's NPI number?

The NPI number for Laura Sullivan is 1972819324. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Q: What is Laura Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Laura Sullivan was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 24, 2010PECOS Enrolled

2355 HIGHWAY 36 W, ROSEVILLE, MN 55113(763) 412-1993 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2020, Nov 5, 2020, Jan 19, 2018 (3 updates tracked since 2018).

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About Mrs. Laura Marie Sullivan Rn, Cnp NPPES

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

MRS. LAURA MARIE SULLIVAN RN, CNP (NPI 1972819324) is an individual primary care provider in Roseville, Minnesota, licensed in Minnesota (1686) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972819324

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMRS. LAURA MARIE SULLIVANCredential: RN, CNP

Location Address2355 HIGHWAY 36 WRoseville, MN 55113-3902

Mailing Address2355 Highway 36 W Ste 400Roseville, MN 55113-3905 · (763) 412-1993

Phone(763) 412-1993

Sole ProprietorNo

Enumeration DateAugust 24, 2010

Last NPPES UpdateNovember 12, 20203 updates tracked since enumeration

NPPES CertifiedNovember 5, 2020

✔ NPI 1972819324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MN · 1686

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 363L00000X (MN)

2355 HIGHWAY 36 W, Roseville, MN 55113

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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)

Mrs. Laura Marie Sullivan Rn, Cnp 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 55113 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

MRS. KECIA K FARLEY FNP-C

Nurse Practitioner (Family)

2355 HIGHWAY 36 W
ROSEVILLE, MN 55113

Ramsey County (810) 471-8522

ABDIRAHMAN MOHAMED MUSE

Behavior Technician

2355 HIGHWAY 36 W
ROSEVILLE, MN 55113

Ramsey County (612) 644-4942

JORGE A LEON MD

Radiology (Vascular & Interventional Radiology)

2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 292-2000

JOHN P KNOEDLER JR. MD

Radiology (Diagnostic Radiology)

2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 292-2000

ROBERT JOHN HOSKER M.D.

Radiology (Diagnostic Radiology)

2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 292-2000

CENTRAL LAKES HEALTH CARE SERVICES LLC

Home Health

2355 HIGHWAY 36 W
ROSEVILLE, MN 55113

Ramsey County (763) 377-2418

MUNA HASSAN MOHAMMED

Behavior Technician

2355 HIGHWAY 36 W
ROSEVILLE, MN 55113

Ramsey County (763) 358-5353

KRISTIN A LIEBERMAN MD

Radiology (Diagnostic Radiology)

2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 292-2000

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 Laura Sullivan's NPI number?

The NPI number for Laura Sullivan is 1972819324. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Where is Laura Sullivan located?

Laura Sullivan practices at 2355 Highway 36 W, Roseville, MN 55113. The listed phone number is (763) 412-1993.

What is Laura Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Laura Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Laura Sullivan was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.