MARY SULLIVAN, PCNS

Gerontology Nurse Practitioner · PROVIDENCE, RI

Individual Active NPI 1386662484

Medicare payment data Part B · 2023

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2023	12	28	$6,319	$2,648	$2,110

Taxonomy & licensure

Specialty	Code	Primary	License	State
Gerontology Nurse Practitioner	363LG0600X	✓	21544	CA
Mental Health Counselor	101YM0800X		PPNS00073	RI

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: No

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JESSICA AMARAL, NP
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KILEY FAIR, AGACNP
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See all Gerontology Nurse Practitioner providers in Rhode Island →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.