Kristen Rudick Sullivan, RN, MSN, CRNP in Worcester, MA

Kristen Rudick Sullivan, RN, MSN, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Worcester, Massachusetts. Her current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 334-8765.

Kristen Rudick Sullivan is licensed to practice in Massachusetts (license number RN284023) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710255021.

Contact Information

	Kristen Rudick Sullivan, RN, MSN, CRNP
	55 Lake Ave N, Worcester, MA 01655-0002
	(508) 334-8765
	(774) 443-7360

Map and Direction

Provider's Profile

Full Name	Kristen Rudick Sullivan
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710255021
Provider Enumeration Date: 12/01/2011
Last Update Date: 03/29/2022

Medicare PECOS Information:

PECOS PAC ID: 0547576696
Enrollment ID: I20150903001365

Medical Identifiers

Medical identifiers for Kristen Rudick Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710255021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN284023 (Massachusetts)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	RN284023 (Massachusetts)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	RN284023 (Massachusetts)	Primary

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. Kristen Rudick Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

Entity Name	Children's Urological Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144234055 PECOS PAC ID: 3173627411 Enrollment ID: O20070327000369

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. Kristen Rudick 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
Kristen Rudick Sullivan, RN, MSN, CRNP 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-8765	Kristen Rudick Sullivan, RN, MSN, CRNP 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-8765

Reviews and Comments

Nurse Practitioner Nurses in Worcester, MA

Ms. Eileen A. Duhamel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Radiology, Worcester, MA 01655 Phone: 508-334-2710
Erin Marie Bednarek, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 508-334-6255 Fax: 508-334-6063
Natalia Alexandrovna Kottler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800
Kristen M Derosa, NNP-BC, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-6609
Dr. Laura Marie Knight, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-2761
Ms. Colette Julia O'connor, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552
Sandra Bellini, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-6470

Kristen Rudick Sullivan, RN, MSN, CRNP - Medicare Nurse Practitioner in Worcester, MA