Individual provider Active NPI

Helen Ruth Sullivan, APRN

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1336630797
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
7575 Issued in CT
Practice address
9201 E Mountain View Rd Ste 220
Scottsdale, AZ 85258-5172
Phone
(413) 478-6534
NPI assigned
May 22, 2018
Last updated
May 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 7575 CT Primary

Addresses

Primary practice location

9201 E Mountain View Rd Ste 220
Scottsdale, AZ 85258-5172

Mailing address

884 East St S
Suffield, CT 06078-2404
Phone (413) 478-6534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, RI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180709001918 CT Practitioner - Nurse Practitioner 4082960828 Reassigns benefits to 2 organizations
I20180723002986 MA Practitioner - Nurse Practitioner 4082960828 Reassigns benefits to 2 organizations
I20240920003642 RI Practitioner - Nurse Practitioner 4082960828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunrise Psychological Services LLCGroup PAC ID 7911130216, 10 clinicians
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians

Practice addresses (Care Compare)

22 Hospital Ave
Danbury, CT 06810-5945
Phone (718) 298-4375

44 School St
RM 325
Boston, MA 02108-4209
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
69.09 of 100Reported as group
Quality
73.07
Promoting interoperability
0
Improvement activities
40
Cost
73.89

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
72.39
Improvement activities
40
Cost
72.21

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
71.18
Improvement activities
40
Cost
75.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7575CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Apr 22, 2019 Accepting new patients
Integrated Wound Care Massachusetts PLLC CurrentSince Jan 17, 2020 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Dec 26, 2018 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Jul 1, 2022 Accepting new patients
Meaningful Medical PC CurrentSince Feb 1, 2025 Accepting new patients
Supportive Care I of Rhode Island PC CurrentSince Aug 14, 2024 Accepting new patients
Quality Visiting Nurses LLC PastSince Feb 1, 2025 Accepting new patients

Locations

25 Lorraine St
Hartford, CT 06105
Phone (413) 301-6019

5 Greenwood St
Hartford, CT 06106
Phone (860) 236-2901

245 Orange Ave
Milford, CT 06461
Phone (203) 226-4201

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

470 Straits Tpke
Watertown, CT 06795
Phone (860) 945-1139

595 Valley St
Willimantic, CT 06226
Phone (860) 450-7060

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

150 Lincoln St
Needham, MA 02492
Phone (781) 449-4040

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

Organizations & group practices 7

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": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1336630797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 EAST ST S",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782404",
            "telephone_number": "413-478-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585172",
            "telephone_number": "413-478-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "HELEN",
        "middle_name": "RUTH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "7575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.