Individual provider Active NPI

Patricia Sullivan, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1376870097
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4531 Issued in AZ
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

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4531OtherAZPA LIC
483070MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000846 AZ Practitioner - Physician Assistant 4082757828 Reassigns benefits to 1 organization

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
Biltmore Ear Nose and Throat PCGroup PAC ID 8527042530, 15 clinicians

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 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4531AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Guggiari Med PC PastSince Mar 1, 2018 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.

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

Verify at the official NPI Registry.