Jessica Y Sullivan, NP in Waupun, WI - Medicare Nurse Practitioner

Jessica Y Sullivan, NP is a medicare enrolled "Nurse Practitioner - Family" in Waupun, Wisconsin. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Agnesian Healthcare Inc and her current practice location is 608 W Brown St, Waupun, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 324-6801.

Jessica Y Sullivan is licensed to practice in Wisconsin (license number 2867) 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 1134150022.

Contact Information

	Jessica Y Sullivan, NP
	608 W Brown St, Waupun, WI 53963-1702
	(920) 324-6801
	(920) 324-9765

Map and Direction

Provider's Profile

Full Name	Jessica Y Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	608 W Brown St, Waupun, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessica Y Sullivan graduated from nursing school in 2005

NPI Data:

NPI Number: 1134150022
Provider Enumeration Date: 07/06/2006
Last Update Date: 01/13/2021

Medicare PECOS Information:

PECOS PAC ID: 6901819531
Enrollment ID: I20060726000098

Medical Identifiers

Medical identifiers for Jessica Y Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134150022	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2867 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	2867 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Agnes Hospital	Fond du lac, WI	Hospital
Waupun Memorial Hospital	Waupun, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agnesian Healthcare Inc	1658289624	335

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. Jessica Y Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

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. Jessica Y 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 Address	Practice Location Address
Jessica Y Sullivan, NP 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340	Jessica Y Sullivan, NP 608 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-6801

Reviews and Comments

Nurse Practitioner Nurses in Waupun, WI

Ms. Mary Ann Gorske, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 S Madison St, Waupun, WI 53963 Phone: 920-324-5571
Stephanie Lynn Bush, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 Gateway Dr, Waupun, WI 53963 Phone: 920-324-9899 Fax: 920-324-9899
Ms. Melissa A. Johnson, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 W Lincoln St, Waupun, WI 53963 Phone: 920-324-6290
Samantha L Thiede, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 608 W Brown St, Waupun, WI 53963 Phone: 920-324-6801
Peggy L Keuler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 W Lincoln St, Waupun, WI 53963 Phone: 920-324-5577
Brie K Strook, FNP, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 Gateway Dr, Waupun, WI 53963 Phone: 920-345-1306

Jessica Y Sullivan, NP - Medicare Nurse Practitioner in Waupun, WI