Individual provider Active NPI

Casey Marie Sullivan, CRNA

  • Certified Registered Nurse Anesthetist
  • Charleston, SC
National Provider Identifier
1356965701
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28901 Issued in SC
Practice address
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone
(843) 402-1436
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28901 SC Primary

Addresses

Primary practice location

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733

Mailing address

PO Box 603484
Charlotte, NC 28260-3484
Phone (803) 765-1838

Other identifiers 2

IdentifierTypeStateIssuer
300040951MedicaidIN
7100678460MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OR, SC, GA, FL5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20200729002978 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527483114 Reassigns benefits to 2 organizations
I20220722001172 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527483114 Reassigns benefits to 3 organizations
I20241118004031 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527483114 Reassigns benefits to 3 organizations
I20250408000434 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527483114 Reassigns benefits to 2 organizations
I20250807000106 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527483114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Georgia - TCS, PCGroup PAC ID 3971024910, 112 clinicians
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
Bon Secours St Francis Xavier Hospital IncGroup PAC ID 8325008717, 202 clinicians

Practice addresses (Care Compare)

100 Frist CT
Columbus, GA 31909-3578
Phone (706) 494-2100

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436

4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8000

Hospital & facility affiliations

  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.83
Promoting interoperability
100
Improvement activities
40
Cost
82.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
28901SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical University Hospital Authority CurrentSince May 15, 2025 Accepting new patients
SC Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 9, 2025 Accepting new patients
Laser and Outpatient Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2025 Accepting new patients
Silverton Health CurrentSince Dec 27, 2022 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
Silverton Health Current Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2026 Accepting new patients
Hospitalist Medicine Physicians of Georgia - TCS, PC CurrentSince Feb 2, 2025 Accepting new patients
Silverton Health CurrentSince Dec 27, 2022 Accepting new patients
Juniper Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Greenland Anesthesia Management, LLC CurrentSince Sep 8, 2025 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Mar 13, 2025 Accepting new patients
Medical University Hospital Authority Nurse Anesthetist, Certified Registered CurrentSince May 15, 2025 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2025 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 17, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 17, 2020 Accepting new patients
Laser and Outpatient Surgery Center LLC Past Accepting new patients

Locations

6925 NW 11th Pl
Gainesville, FL 32605
Phone (352) 331-1590

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

7752 Solution Ctr
Chicago, IL 60677

865430 Reliable Pkwy
Chicago, IL 60686

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

400 10th St E
Waconia, MN 55387

2115 NE Wyatt Ct
Ste 201
Bend, OR 97701
Phone (541) 610-7246

1475 SW Chandler Ave
Ste 202
Bend, OR 97702
Phone (541) 312-5522

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

1520 Taylor St
Columbia, SC 29201
Phone (803) 254-8449

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1356965701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603484",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603484",
            "telephone_number": "803-765-1838",
            "fax_number": "803-765-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145733",
            "telephone_number": "843-402-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CASEY",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "28901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300040951",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100678460",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.