Individual provider Active NPI

Hana Won Sullivan, AGNP-C

  • Adult Health Nurse Practitioner
  • Painted Post, NY
National Provider Identifier
1356012504
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310339 Issued in NY
Practice address
240 S Hamilton St Ste 201
Painted Post, NY 14870-9791
Phone
(607) 542-9507
Fax
(701) 248-1616
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 310339 NY Primary

Addresses

Primary practice location

240 S Hamilton St Ste 201
Painted Post, NY 14870-9791

Mailing address

240 S Hamilton St Ste 201
Painted Post, NY 14870-9791
Phone (607) 542-9507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20260226003206 NY Order and Referring Only - Nurse Practitioner 6305232364

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Comprehensive Health Services Current Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients

Locations

103 Forestview Ave
Elkland, PA 16920
Phone (814) 258-5117

40 W Wellsboro St
Mansfield, PA 16933
Phone (570) 662-1945

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

Interoperability endpoints

  • Direct secure messaging: hwon127474@direct-guthrie.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1356012504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S HAMILTON ST STE 201",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148709791",
            "telephone_number": "607-542-9507",
            "fax_number": "701-248-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S HAMILTON ST STE 201",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148709791",
            "telephone_number": "607-542-9507",
            "fax_number": "701-248-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "HANA",
        "middle_name": "WON",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painted Post, NY

Sources for this page

Verify at the official NPI Registry.