Mrs Laura Marie Sullivan, RN, CNP in Roseville, MN

Mrs Laura Marie Sullivan, RN, CNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Roseville, Minnesota. Her current practice location is 2355 Highway 36 W, Roseville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 412-1993.

Mrs Laura Marie Sullivan is licensed to practice in Minnesota (license number 1686) 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 1972819324.

Contact Information

	Mrs Laura Marie Sullivan, RN, CNP
	2355 Highway 36 W, Roseville, MN 55113-3902
	(763) 412-1993
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Laura Marie Sullivan
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	2355 Highway 36 W, Roseville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972819324
Provider Enumeration Date: 08/24/2010
Last Update Date: 11/12/2020

Medicare PECOS Information:

PECOS PAC ID: 8729262860
Enrollment ID: I20110413000877

Medical Identifiers

Medical identifiers for Mrs Laura Marie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972819324	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	363L00000X (Minnesota)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	1686 (Minnesota)	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 Laura Marie Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Healthfair Plus Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220821000028

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 Laura Marie 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 Laura Marie Sullivan, RN, CNP 2355 Highway 36 W Ste 400, Roseville, MN 55113-3905 Ph: (763) 412-1993	Mrs Laura Marie Sullivan, RN, CNP 2355 Highway 36 W, Roseville, MN 55113-3902 Ph: (763) 412-1993

Reviews and Comments

Nurse Practitioner Nurses in Roseville, MN

Cherie S. Nienow, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-2000
Dr. Patricia Ann Kappas-larson, DNP, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2845 Hamline Ave N, Roseville, MN 55113 Phone: 651-631-6100 Fax: 651-631-6343
Kathleen Sue Holets, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1935 County Road B2 W, Suite 64, Roseville, MN 55113 Phone: 612-465-9270
Mrs. Kecia K Farley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2355 Highway 36 W, Roseville, MN 55113 Phone: 810-471-8522
Ashley Hundley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2355 Hwy 36 W, Ste. 100, Roseville, MN 55113 Phone: 651-292-2000
Shari L. Rolandson Wentz, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000
Beth-anne Joelle Wasemiller, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2355 Highway 36 W Ste 400, Roseville, MN 55113 Phone: 763-412-1993

Mrs Laura Marie Sullivan, RN, CNP - Medicare Nurse Practitioner in Roseville, MN