Jennifer Sullivan, CNP - Medicare Nurse Practitioner in Auburn, ME

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Jennifer Sullivan, CNP is a medicare enrolled "Nurse Practitioner" in Auburn, Maine. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Marys Regional Medical Center and her current practice location is 15 Gracelawn Rd Ste 203, Auburn, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 777-8959.

Jennifer Sullivan is licensed to practice in Maine (license number CNP141034) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093122475.

Contact Information

Jennifer Sullivan, CNP
15 Gracelawn Rd Ste 203,
Auburn, ME 04210-6344
(207) 777-8959
(207) 753-3093

Map and Direction




Provider's Profile

Full NameJennifer Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location15 Gracelawn Rd Ste 203, Auburn, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Sullivan graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1093122475
  • Provider Enumeration Date: 07/17/2014
  • Last Update Date: 08/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1456579572
  • Enrollment ID: I20140902001093

Medical Identifiers

Medical identifiers for Jennifer Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093122475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner CNP141034 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary's Regional Medical CenterLewiston, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Regional Medical Center0042107120186

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Sullivan allows following entities to bill medicare on her behalf.
Entity NameSt Marys Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447226584
PECOS PAC ID: 0042107120
Enrollment ID: O20040303000236
Entity NameBridgton Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154370153
PECOS PAC ID: 8123919099
Enrollment ID: O20040322000534
Entity NameCentral Maine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689653487
PECOS PAC ID: 2567379563
Enrollment ID: O20040324000441
Entity NameRumford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205991122
PECOS PAC ID: 3870583511
Enrollment ID: O20040514000890
Entity NameRumford Community Family Health Center Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578599775
PECOS PAC ID: 1557340460
Enrollment ID: O20040715000176

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Sullivan, CNP
C/o St Marys Health System - Provider Enrollment, Po Box 7291,
Lewiston, ME 04243-7291

Ph: (207) 777-8950		Jennifer Sullivan, CNP
15 Gracelawn Rd Ste 203,
Auburn, ME 04210-6344

Ph: (207) 777-8959

Reviews and Comments


Nurse Practitioner Nurses in Auburn, ME

Laurie Lambert, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 Minot Ave, Auburn, ME 04210
Phone: 207-729-7800    Fax: 207-795-2000
Kara Clark, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15 Gracelawn Rd, Auburn, ME 04210
Phone: 207-753-3080    Fax: 207-753-3088
Corinna M Campbell, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 791 Turner St Unit 2, Auburn, ME 04210
Phone: 207-330-3900    Fax: 207-330-3940
Kelly A Johnson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2 Great Falls Plz Ste 21, Auburn, ME 04210
Phone: 207-330-3950    Fax: 207-330-3955
Erin P Stone,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 236 Stetson Rd, Auburn, ME 04210
Phone: 207-333-6300    
Elise Ann K Wiley, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 60 Second Street, Auburn, ME 04210
Phone: 207-783-3333    Fax: 207-782-9723

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.