Active NPI
Patricia Sullivan, PA-C
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1376870097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4531
- Practice address
- 4400 N 32ND St Ste 220
Phoenix, AZ 85018-3965 - Phone
- (602) 956-1250
- Fax
- (602) 956-7466
- NPI assigned
- Nov 17, 2009
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4531 | AZ | Primary |
Addresses
Primary practice location
4400 N 32ND St Ste 220
Phoenix, AZ 85018-3965
Mailing address
1010 E McDowell Rd Ste 206
Phoenix, AZ 85006-2608
Phone (602) 956-1250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4531 | Other | AZ | PA LIC |
| 483070 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 E McDowell Rd
Phoenix, AZ 85006-2608
Phone (602) 956-1250
13555 W McDowell Rd
Suite 202
Goodyear, AZ 85395-2626
Phone (623) 512-4100
4400 N 32ND St
Suite 220
Phoenix, AZ 85018-3965
Phone (602) 956-1250
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4531 | AZ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guggiari Med PC | Past | Accepting new patients | |
| Biltmore Ear Nose and Throat, PC | Past | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
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-
- Family Medicine Physician
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- NPI 1760441141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1376870097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 E MCDOWELL RD STE 206",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062608",
"telephone_number": "602-956-1250",
"fax_number": "602-956-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 N 32ND ST STE 220",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850183965",
"telephone_number": "602-956-1250",
"fax_number": "602-956-7466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "PATRICIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-17",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "4531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LIC",
"identifier": "4531",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "483070",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.