Lisa Marie Sullivan, APRN-CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

220736 Issued in OK

Practice address

1491 Health Center Pkwy
Yukon, OK 73099-6492

Phone

(405) 806-2200

Fax

(405) 806-2207

NPI assigned

Jun 17, 2024

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

Medicare fee-for-service enrollment

Enrolled in OK

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

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians

Aquilo Health Company P C Dba Canadian Valley Family CareGroup PAC ID 8224016480, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211
• Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
• Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDCDCA/Endpoint/IDCDCA

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.

• Aquilo Health Company P C Dba Canadian Valley Family Care

  • Family Medicine Physician
  • Yukon, OK
  • NPI 1891869822
  Medicare reassignment Care Compare group NPD
• The Physicians Group LLC

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1487620381
  Medicare reassignment Care Compare group NPD

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

• Community Hospital LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337
  Care Compare affiliation
• Integris Canadian Valley Hospital

  • General Acute Care Hospital
  • Yukon, OK
  • NPI 1306865357
  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  • Mammography Clinic/Center
  • Oklahoma City, OK
  • NPI 1336155779

  Hospital

  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  • Rehabilitation Hospital Unit
  • Oklahoma City, OK
  • NPI 1336252717
  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1457372625
  Care Compare affiliation

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1063255164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 HEALTH CENTER PKWY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996492",
            "telephone_number": "405-806-2200",
            "fax_number": "405-806-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 HEALTH CENTER PKWY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996492",
            "telephone_number": "405-806-2200",
            "fax_number": "405-806-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "220736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Strunk, PT
• Marion K. Studebaker, M.D.
• Colleen Sturiale, PT
• Candace L. Sturlin, PA-C
• Mandy Elise Sudik, RD
• Summer Dental Yukon, PLLC
• Joanna Lynn Summers
• Sunstone Family Therapy
• Surgical Partners of Oklahoma
• Surrey Hills Dental Inc

• Primary Care Nurse Practitioner in Yukon, OK
• Providers in Yukon, OK by specialty
• Primary Care Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.