Rachelle Sullivan, APRN- FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

828362 Issued in NV

Practice address

3301 E 3100 S
St George, UT 84790-1385

Phone

(435) 680-1154

NPI assigned

Jan 27, 2020

Last updated

Oct 1, 2020By the provider in NPPES

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 NV, UT2 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

Merit-based Incentive Payment System (MIPS)

Final score

91.17 of 100Reported as apm

Quality

80.65

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20544/brand/1/csg/1/fhir/r4

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.

• Aloe Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Santa Clara, UT
  • NPI 1629725668
  Medicare reassignment NPD
• Integrated Medical Services, LLC Dba Peak Medical Services

  dba Peak Medical Services

  • Primary Care Clinic/Center
  • St George, UT
  • NPI 1114289980
  Medicare reassignment NPD
• Aumbria Health and Aesthetics LLC

  • Internal Medicine Physician
  • Mesquite, NV
  • NPI 1902298243
  Medicare reassignment NPD
• Corner Clinic St George LLC

  • Family Medicine Physician
  • St George, UT
  • NPI 1629568209
  NPD (past)

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1265063531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E 3100 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901385",
            "telephone_number": "435-680-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E 3100 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901385",
            "telephone_number": "435-680-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RACHELLE",
        "credential": "APRN- FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "828362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffanee Suhaka
• Ashlin Sullivan
• Aubree L Sullivan, LCSW
• C Stan Sullivan, LCSW
• Madison Sullivan
• Rhett William Sullivan
• Taylor Sullivan, MSW
• Jenna T. Summerhays, FNP-C
• Summit Behavior Services
• Summit Chiropractic LLC

• Family Nurse Practitioner in St George, UT
• Providers in St George, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.