Shanice Sullivan, MSN, APRN, FNP-C - Medicare Nurse Practitioner in South Euclid, OH

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Shanice Sullivan, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in South Euclid, Ohio. Her current practice location is 1805 S Belvoir Blvd, South Euclid, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 212-9911.

Shanice Sullivan is licensed to practice in Ohio (license number APRN.CNP.0032614) 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 1275241002.

Contact Information

Shanice Sullivan, MSN, APRN, FNP-C
1805 S Belvoir Blvd,
South Euclid, OH 44121-3746
(216) 212-9911
Not Available

Map and Direction




Provider's Profile

Full NameShanice Sullivan
GenderFemale
SpecialityNurse Practitioner - Family
Location1805 S Belvoir Blvd, South Euclid, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275241002
  • Provider Enumeration Date: 11/10/2022
  • Last Update Date: 11/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2466818133
  • Enrollment ID: I20230523000597

Medical Identifiers

Medical identifiers for Shanice Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275241002NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.0032614 (Ohio)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. Shanice Sullivan allows following entities to bill medicare on her behalf.
Entity NameMarymount Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720031131
PECOS PAC ID: 6507763661
Enrollment ID: O20031217000026

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. Shanice 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
Shanice Sullivan, MSN, APRN, FNP-C
1805 S Belvoir Blvd,
South Euclid, OH 44121-3746

Ph: (216) 212-9911		Shanice Sullivan, MSN, APRN, FNP-C
1805 S Belvoir Blvd,
South Euclid, OH 44121-3746

Ph: (216) 212-9911

Reviews and Comments


Nurse Practitioner Nurses in South Euclid, OH

Ms. Tomisha Yvon Bethune, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1302 Winston Rd, South Euclid, OH 44121
Phone: 216-374-8672    
Nicole Milliron, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2120 S Green Rd, South Euclid, OH 44121
Phone: 216-255-5201    
Nicholas Jezerinac, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2054 S Green Rd, South Euclid, OH 44121
Phone: 216-291-9210    
Mrs. Sandra L. K. Chapman, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1611 S Green Rd Ste 65, South Euclid, OH 44121
Phone: 216-553-5055    Fax: 216-553-5057
Kristina Banks, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2054 S Green Rd, South Euclid, OH 44121
Phone: 216-291-9210    Fax: 216-291-9422
Mrs. Courtney Lynn Mcavinew, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1611 S Green Rd Ste 237, South Euclid, OH 44121
Phone: 216-291-0311    Fax: 216-291-1334

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.