Individual provider Active NPI

Margaret G Sullivan, NP

  • Family Nurse Practitioner
  • Sandusky, OH
National Provider Identifier
1235227539
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP09095 Issued in OH
Practice address
1326 E Perkins Ave
Sandusky, OH 44870-5025
Phone
(419) 625-5065
Fax
(419) 621-1276
NPI assigned
Oct 11, 2006
Last updated
Feb 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP09095 OH Primary

Addresses

Primary practice location

1326 E Perkins Ave
Sandusky, OH 44870-5025

Mailing address

2800 Hayes Ave
BLDG. a
Sandusky, OH 44870-7248
Phone (419) 626-6161

Other identifiers 3

IdentifierTypeStateIssuer
RN265442OtherOHREGISTERED NURSE 1
2703739MedicaidOH
NP09095OtherOHCERTIFIED NURSE PRACTITIO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061201000044 OH Practitioner - Nurse Practitioner 5890793723 Reassigns benefits to 2 organizations
I20251120001803 WV Practitioner - Nurse Practitioner 5890793723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

424 Church St
Nashville, TN 37219-2301

4367 N Township Rd
Suite 190
Republic, OH 44867-9224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP09095OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Oct 1, 2025 Accepting new patients
North Coast Professional Company, LLC CurrentSince Jul 1, 2012 Accepting new patients
North Coast Professional Company, LLC CurrentSince Jul 1, 2012 Accepting new patients
Tiffin Emergency Services, LLC Past Accepting new patients
Midwest Emergency Management Ohio, Inc Past Accepting new patients
Fort Ball Emergency Physicians LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1470 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-0700

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

209 Washington St W
Charleston, WV 25302
Phone 24852821166

Interoperability endpoints

  • Direct secure messaging: margaret.sullivan.1@14940.direct.athenahealth.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1235227539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 HAYES AVE",
            "address_2": "BLDG. A",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707248",
            "telephone_number": "419-626-6161",
            "fax_number": "419-626-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 E PERKINS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705025",
            "telephone_number": "419-625-5065",
            "fax_number": "419-621-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARGARET",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP09095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE 1",
            "identifier": "RN265442",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2703739",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIO",
            "identifier": "NP09095",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.