Active NPI
Kristin Sina Sullivan, APRN
- Acute Care Nurse Practitioner
- Muskogee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 86574
- Practice address
- 101 Rockefeller Dr
Muskogee, OK 74401-5056 - Phone
- (918) 494-8500
- Fax
- (918) 494-5455
- NPI assigned
- Mar 3, 2015
- Last updated
- Oct 15, 2024
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 792822 | TX | |
| Nurse Practitioner | 363L00000X | 86574 | OK | |
| Acute Care Nurse Practitioner | 363LA2100X | 86574 | OK | Primary |
| Nurse Practitioner | 363L00000X | AP127645 | TX | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 86574 | OK |
Addresses
Primary practice location
101 Rockefeller Dr
Muskogee, OK 74401-5056
Mailing address
6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Rockefeller Dr
Suite 100
Muskogee, OK 74401-5050
Phone (918) 683-1831
115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671
Hospital & facility affiliations
- Saint Francis Hospital Muskogee
- Saint Francis Hospital, Inc
- Christus Mother Frances Hospital Sulphur Springs
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.06 of 100
- Quality
- 75.25
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.82 of 100
- Quality
- 82.31
- Improvement activities
- 40
- Cost
- 62.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 792822 | TX | MD | Registered Nurse |
| AP127645 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Clinic Inc | Current | Accepting new patients | |
| Midwest Hospitalist Group PLLC | Current | Accepting new patients | |
| Apogee Medical Group Texas PA | Current | Accepting new patients | |
| Thi Specialists LLC | Current | Accepting new patients | |
| North Texas Physician Services, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Integris Cardiovascular Physicians LLC | Past | Accepting new patients | |
| Oklahoma Heart Inc | Past | Accepting new patients |
Locations
101 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 683-1831
101 Rockefeller Dr
Ste 100
Muskogee, OK 74401
Phone (918) 684-2557
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453
1145 S Utica Ave
Ste 460
Tulsa, OK 74104
Phone (918) 392-8884
2440 E 81st St
Tulsa, OK 74137
Phone (918) 392-8856
6151 S Yale Ave
Ste 100A
Tulsa, OK 74136
Phone (918) 494-2100
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587
609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360
3200 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 382-6789
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7671
719 W Coke Rd
Winnsboro, TX 75494
Phone (903) 342-3710
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/OHI/api/FHIR/R4
- ksullivan284194@ahs.direct-ci.com
- ksullivan79592@direct.saintfrancis.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992586150
Nurse Practitioner
-
- Internal Medicine Physician
- Edmond, OK
- NPI 1376011478
-
- Infectious Disease Physician
- Tulsa, OK
- NPI 1952763922
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1306129598
-
- Specialist
- Tulsa, OK
- NPI 1972574044
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Francis Hospital Muskogee
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
-
dba Christus Mother Frances - Sulphur Springs
- General Acute Care Hospital
- Sulphur Springs, TX
- NPI 1033568621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1417349275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363331",
"telephone_number": "888-247-0125",
"fax_number": "918-502-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ROCKEFELLER DR",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015056",
"telephone_number": "918-494-8500",
"fax_number": "918-494-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "KRISTIN",
"middle_name": "SINA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-03",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "792822",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "86574",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OK",
"license": "86574",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP127645",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "OK",
"license": "86574",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.