Ms Nickcola Lee Sullivan, AGNP - Medicare Nurse Practitioner in Candler, NC

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Ms Nickcola Lee Sullivan, AGNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Candler, North Carolina. Her current practice location is 75 Monte Vista Ter, Candler, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 381-2788.

Ms Nickcola Lee Sullivan is licensed to practice in North Carolina (license number 145454) 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 1992112007.

Contact Information

Ms Nickcola Lee Sullivan, AGNP
75 Monte Vista Ter,
Candler, NC 28715-9436
(828) 381-2788
Not Available

Map and Direction




Provider's Profile

Full NameMs Nickcola Lee Sullivan
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location75 Monte Vista Ter, Candler, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992112007
  • Provider Enumeration Date: 07/21/2014
  • Last Update Date: 03/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456572916
  • Enrollment ID: I20141027000254

Medical Identifiers

Medical identifiers for Ms Nickcola Lee Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992112007NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 145454 (North Carolina)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. Ms Nickcola Lee Sullivan allows following entities to bill medicare on her behalf.
Entity NameKrishiroshi Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063753804
PECOS PAC ID: 2062659568
Enrollment ID: O20130430000319
Entity NameGaps Health Nc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083273056
PECOS PAC ID: 0941539803
Enrollment ID: O20190903001428
Entity NameVitae Health Medical North Carolina Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265064414
PECOS PAC ID: 7719317932
Enrollment ID: O20200430000531
Entity NameLongevity Clinical Ltc Associates Of North Carolina Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154907855
PECOS PAC ID: 3375952559
Enrollment ID: O20210430000235

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. Ms Nickcola Lee 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
Ms Nickcola Lee Sullivan, AGNP
75 Monte Vista Ter,
Candler, NC 28715-9436

Ph: (828) 381-2788		Ms Nickcola Lee Sullivan, AGNP
75 Monte Vista Ter,
Candler, NC 28715-9436

Ph: (828) 381-2788

Reviews and Comments


Nurse Practitioner Nurses in Candler, NC

Mrs. Elizabeth J Averill, NURSE PRACTITIONER
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Practice Location: 1219 Smokey Park Hwy, Candler, NC 28715
Phone: 828-258-8681    Fax: 828-253-4830
Susan Klein, APRN, PMHNP
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Practice Location: 12 Blue Damsel Ct, Candler, NC 28715
Phone: 603-858-0824    
Yelena Pocitovii, FNP-BC
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Practice Location: 400 Vista Lake Dr Apt 104, Candler, NC 28715
Phone: 678-221-1880    
Susan Erkenbrack Platt, APRN, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 1388 Sand Hill Rd, Mission My Care Plus Candler, Candler, NC 28715
Phone: 828-213-5335    Fax: 828-213-5336
Jeanne Schlesinger, NP
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Practice Location: 1388 Sand Hill Rd, Mycareplus-candler, Candler, NC 28715
Phone: 828-213-5335    
Mrs. Sarah S Mohammed, FNP-BC
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Practice Location: 1388 Sand Hill Rd, Candler, NC 28715
Phone: 828-213-5335    
Kelly Byrne Stoia, F.N.P.
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 511 Smokey Park Hwy Suite A2, Candler, NC 28715
Phone: 828-365-1088    Fax: 828-667-0382

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.