Mrs Carolyn Anne Sullivan, AC PNP in Springfield, MO

Mrs Carolyn Anne Sullivan, AC PNP is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" in Springfield, Missouri. Her current practice location is 3231 S National Ave, Suite 115, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 885-0824.

Mrs Carolyn Anne Sullivan is licensed to practice in Missouri (license number 2015003901) 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 1225306269.

Contact Information

	Mrs Carolyn Anne Sullivan, AC PNP
	3231 S National Ave, Suite 115, Springfield, MO 65807-7304
	(417) 885-0824
	(417) 890-4174

Map and Direction

Provider's Profile

Full Name	Mrs Carolyn Anne Sullivan
Gender	Female
Speciality	Nurse Practitioner - Pediatrics, Critical Care
Location	3231 S National Ave, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225306269
Provider Enumeration Date: 12/05/2011
Last Update Date: 11/19/2015

Medicare PECOS Information:

PECOS PAC ID: 0648424259
Enrollment ID: I20150922001900

Medical Identifiers

Medical identifiers for Mrs Carolyn Anne Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225306269	NPI	-	NPPES
1225306269	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0222X	Nurse Practitioner - Pediatrics, Critical Care	209009257 (Illinois)	Secondary
363LP0222X	Nurse Practitioner - Pediatrics, Critical Care	2015003901 (Missouri)	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. Mrs Carolyn Anne Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

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. Mrs Carolyn Anne 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
Mrs Carolyn Anne Sullivan, AC PNP Po Box 505164, Saint Louis, MO 63150-5164 Ph: (417) 829-4620	Mrs Carolyn Anne Sullivan, AC PNP 3231 S National Ave, Suite 115, Springfield, MO 65807-7304 Ph: (417) 885-0824

Reviews and Comments

Nurse Practitioner Nurses in Springfield, MO

Ven Thi Lam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4720
Mrs. Erin Elizabeth Duvall, APRN, FNP-C, PMHNP-B Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 E Bennett - B, Springfield, MO 65804 Phone: 417-619-4129
Michelle Spencer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2750 S Campbell Ave, Springfield, MO 65807 Phone: 417-269-2281 Fax: 417-269-2292
Mrs. Cassondra Dawn Simmoneau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3000
Beverly Jo Gann, RNC,WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 N National Ave, Doctors Hospital Of Springfield, Specialty Clinic, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4724
Ms. Jennifer L. Passanise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1965 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-5150 Fax: 417-820-5155
Sally R Schafer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-4636 Fax: 417-269-7036

Mrs Carolyn Anne Sullivan, AC PNP - Medicare Nurse Practitioner in Springfield, MO