KATHLEEN M SULLIVAN CRNP
NPI 1972968022
Nurse Practitioner in Philadelphia, PA
About Kathleen M Sullivan Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN M SULLIVAN CRNP (NPI 1972968022) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP015828) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen M Sullivan Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kathleen Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1871981985 (Pennsylvania)
- 3,488 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,225 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 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Kathleen Sullivan's NPI number?
The NPI number for Kathleen Sullivan is 1972968022. It was assigned to this individual provider in the NPPES registry on December 16, 2015.
Where is Kathleen Sullivan located?
Kathleen Sullivan practices at 3400 Spruce St Rhoads 5, Philadelphia, PA 19104. The listed phone number is (215) 662-6574.
What is Kathleen Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kathleen Sullivan enrolled in Medicare?
Yes. Kathleen Sullivan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kathleen Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Sullivan reassigns Medicare benefits to 2 organizations: University Of Penn-Medical Group (Philadelphia, PA) and Childrens Health Care Associates, Inc (Philadelphia, PA). 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 Kathleen 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 Kathleen Sullivan was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kathleen M Sullivan, CRNP · NPI 1972968022
Nurse Practitioner physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 16, 2015.
## Identity
- **NPI:** 1972968022 (Entity type: Individual)
- **Enumerated:** December 16, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP015828 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, RHOADS 5, Philadelphia, PA 19104-4238
- **Phone:** (215) 662-6574
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA); Childrens Health Care Associates, Inc (NPI 1033204086, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 15, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1972968022) · Data from the CMS NPPES public registry.