Active NPI
Casey Marie Sullivan, CRNA
- Certified Registered Nurse Anesthetist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28901
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300040951 | Medicaid | IN | |
| 7100678460 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OR, SC, GA, FL
Enrollment records 5
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
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
- Piedmont Columbus Regional Midtown
- Baptist Health Louisville
- Roper St Francis Hospital-Berkeley Inc
- Norton Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.41 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28901 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical University Hospital Authority | Current | Accepting new patients | |
| SC Anesthesiology LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Laser and Outpatient Surgery Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Silverton Health | Current | 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 | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Georgia - TCS, PC | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Juniper Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greenland Anesthesia Management, LLC | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Medical University Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bon Secours St. Francis Xavier Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | 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.
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
-
- Anesthesiology Physician
- Columbus, GA
- NPI 1033926191
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charleston, SC
- NPI 1255305876
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Columbia, SC
- NPI 1205109428
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Milledgeville, GA
- NPI 1740885383
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bend, OR
- NPI 1710400254
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Gainesville, FL
- NPI 1457965832
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1407082308
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
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.