Elizabeth A. Sullivan, N.P.
Individual provider Active NPI Family Nurse Practitioner · Culpeper, VA
NPI 1376655837 · NPPES record last updated Mar 13, 2018
Key facts
- NPI
- 1376655837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024171597 (VA)
- Practice address
- 16268 Bennett Road
Uva Primary Care - Locust Grove
Culpeper, VA 22701 - Phone
- (540) 825-6263
- Fax
- (540) 825-4911
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140723002413 | VA | Practitioner - Nurse Practitioner | 5890698328 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Palliative of Virginia LLC | Current |
Accepting new patients | |
| University of Virginia Physicians Group | Current |
Accepting new patients | |
| Affinity Care of Virginia LLC | Current |
Accepting new patients | |
| Advanced Care Associates, LLC | Nurse Practitioner | Past | Accepting new patients |
| Antero Urgent Care LLC | Past |
Accepting new patients | |
| Cycare LLC | Past |
Accepting new patients | |
| Masonicare Primary Care Physicians | Past |
Accepting new patients | |
| Cycare LLC | Past | Accepting new patients | |
| Medoptions Behavioral Health Assoc, LLC | Nurse Practitioner | Past | Accepting new patients |
| Masonicare Behavioral Health, LLC | Past |
Accepting new patients |
Locations
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
16268 Bennett Rd
Culpeper, VA 22701
Phone (540) 825-6263
714 Thimble Shoals Blvd
Ste C
Newport News, VA 23606
Phone (757) 330-8050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024171597 | VA | Yes |
| Nurse Practitioner | 363L00000X | 002337 | CT |
Addresses
Primary practice location
16268 Bennett Road
Uva Primary Care - Locust Grove
Culpeper, VA 22701
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790773737 | Medicaid | VA |
Other names
- Elizabeth S. Syring
Other providers in Culpeper, VA
- Susan W Strahan
- Taylor Stratton
- Adam Eugene Stright
- Jeanne Eleanor Strunk
- Meghan Stubbs
- Charles F. Suter Jr.
- Wendy Swenson
- Eric H Swift
- Rebecca Talley-Mullins
- Shufei Tao
All providers in Culpeper, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.