Active NPI
Jennifer Sullivan
- Certified Registered Nurse Anesthetist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN2328056
- Practice address
- 3400 Wake Forest Rd
Raleigh, NC 27609-7317 - Phone
- (617) 595-2739
- NPI assigned
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN2328056 | MA | Primary |
Addresses
Primary practice location
3400 Wake Forest Rd
Raleigh, NC 27609-7317
Mailing address
929 Gabriel Dr Apt 104
Greenville, NC 27834-2196
Phone (617) 595-2739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associated Physicians of Harvard Medical Faculty Physicians at Beth Is
Practice addresses (Care Compare)
120 E Carver St
Durham, NC 27704-2700
Phone (919) 684-8111
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (781) 453-7300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6880 | NC | MD | Physical Rehabilitation Occupational Therapist |
| RN2328056 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Anesthesiology | Current | Accepting new patients |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Anesthesiology | Current | Accepting new patients |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Duke University Health System, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regional Anesthesia, PLLC | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients |
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
120 E Carver St
Durham, NC 27704
Phone (919) 470-1000
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000
Interoperability endpoints
- jsullivan252296@direct.bilh.masshiway.net
Organizations & group practices 11
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Nurse Anesthetist, Certified Registered
-
- Specialist
- Durham, NC
- NPI 1952486946
-
- Diagnostic Radiology Physician
- Milton, MA
- NPI 1245773308
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- Anesthesiology Physician
- Boston, MA
- NPI 1093756629
-
- Anesthesiology Physician
- Lawrence, MA
- NPI 1467699918
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Anesthesiology Physician
- Plymouth, MA
- NPI 1568859643
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
-
- General Acute Care Hospital
- Roxbury Crossing, MA
- NPI 1699767491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774742400000",
"number": "1033778360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 GABRIEL DR APT 104",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342196",
"telephone_number": "617-595-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 WAKE FOREST RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097317",
"telephone_number": "617-595-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2026-03-29",
"certification_date": "2026-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2328056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.