Michelle Sullivan, ARNP - Medicare Nurse Practitioner in Lacey, WA

Michelle Sullivan, ARNP is a medicare enrolled "Nurse Practitioner" in Lacey, Washington. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services Washington and her current practice location is 2555 Marvin Rd Ne, Hawks Prairie Family Medicine, Lacey, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 413-4200.

Michelle Sullivan is licensed to practice in Washington (license number AP60435569) 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 1184044471.

Contact Information

Michelle Sullivan, ARNP
2555 Marvin Rd Ne, Hawks Prairie Family Medicine,
Lacey, WA 98516-3138
(360) 413-4200
Not Available

Map and Direction




Provider's Profile

Full NameMichelle Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location2555 Marvin Rd Ne, Lacey, Washington
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:
  • Michelle Sullivan graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1184044471
  • Provider Enumeration Date: 04/24/2014
  • Last Update Date: 03/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9537385638
  • Enrollment ID: I20140725001741

Medical Identifiers

Medical identifiers for Michelle Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184044471NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP60435569 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Assured Home Health And HospiceCentralia, WAHome health agency
Providence St Peter HospitalOlympia, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Washington6709782600387

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. Michelle Sullivan allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20031211000028

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. Michelle 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
Michelle Sullivan, ARNP
Po Box 3360,
Portland, OR 97208-3360

Ph: (866) 747-2455
Michelle Sullivan, ARNP
2555 Marvin Rd Ne, Hawks Prairie Family Medicine,
Lacey, WA 98516-3138

Ph: (360) 413-4200

Reviews and Comments


Nurse Practitioner Nurses in Lacey, WA

Cynthia A Ramsey, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516
Phone: 888-227-3312    Fax: 360-413-6509
Sheree Harvey, DNP, ARNP, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 669 Woodland Square Loop Se, Lacey, WA 98503
Phone: 360-359-4840    
Jodi Fischer, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503
Phone: 360-491-4460    Fax: 360-491-3090
Carrie Welty, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Fm, Lacey, WA 98516
Phone: 360-413-4200    
Consilia Samkia Yeluma,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 606 Woodland Square Loop Se, Lacey, WA 98503
Phone: 360-359-8951    
Mr. Prachanda Khadka, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516
Phone: 360-413-4200    Fax: 360-413-4225
Meghan Neal, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516
Phone: 888-227-3312    

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.