Sharlene Campbell Sullivan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP09503 Issued in LA

Practice address

2408 Broadmoor Blvd Ste B
Monroe, LA 71201-2994

Phone

(318) 807-0525

Fax

(318) 807-1077

NPI assigned

Jun 21, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Charlene Campbell Sullivan Other name

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Northwestern University Feinberg Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians

Louisiana Health Care Practitioners,LLCGroup PAC ID 5597767244, 14 clinicians

Ed Physicians of West Louisiana, LLCGroup PAC ID 4880795665, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssullivan5283313@direct.casso.us.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ed Physicians of West Louisiana, LLC

  • Emergency Medicine Physician
  • West Monroe, LA
  • NPI 1255460143
  Medicare reassignment Care Compare group NPD
• Louisiana Health Care Practitioners LLC

  • Rural Health Clinic/Center
  • Mansura, LA
  • NPI 1811065220
  Medicare reassignment Care Compare group
• Affinity Health Group, LLC

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1023291226
  Medicare reassignment NPD
• Complete Care of St Gabriel LLC

  • Rural Health Clinic/Center
  • Saint Gabriel, LA
  • NPI 1407679921
  Medicare reassignment NPD
• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222
  Medicare reassignment NPD
• Monroe Emergency Physicians LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Monroe, LA
  • NPI 1386235331
  Medicare reassignment NPD
• Morehouse Community Medical Centers, Inc.

  • Family Medicine Physician
  • Bastrop, LA
  • NPI 1053373191
  Medicare reassignment NPD
• Heal All Wound Care LLC

  • Adult Health Nurse Practitioner
  • Flowood, MS
  • NPI 1093554982

  LA

  Medicare reassignment NPD
• MDB Behavioral Health Services LLC

  • Rural Health Clinic/Center
  • Vicksburg, MS
  • NPI 1669835310
  Care Compare group
• Affinity Health Group, LLC

  • Orthopaedic Surgery Physician
  • Monroe, LA
  • NPI 1861879249
  NPD
• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hsa Glenwood, LLC

  • General Acute Care Hospital
  • West Monroe, LA
  • NPI 1548083421
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1013437086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST STE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017363",
            "telephone_number": "318-807-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 BROADMOOR BLVD STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012994",
            "telephone_number": "318-807-0525",
            "fax_number": "318-807-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SHARLENE",
        "middle_name": "CAMPBELL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2451847",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "SULLIVAN",
            "middle_name": "CAMPBELL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bryan Caleb Strong, MD
• James Sturdivant, MD
• Queshaun Svante Sudbury, PMHNP-BC
• Ulka D Sule, RD, CDE
• Sullivan Management LLC
• Danielle Sumbler
• Ettren Sumler
• Carla Summers
• Otisha Charmetric Summers
• Supreme Home Health Services Inc

• Family Nurse Practitioner in Monroe, LA
• Providers in Monroe, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.