Individual provider Active NPI

Elaine Marie Sullivan, CRNA

  • Certified Registered Nurse Anesthetist
  • Acton, MA
National Provider Identifier
1447278551
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
195410 Issued in MA
Practice address
17 Silver Hill Rd
Acton, MA 01720-4227
Phone
(978) 263-8989
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 195410 MA Primary

Addresses

Primary practice location

17 Silver Hill Rd
Acton, MA 01720-4227

Mailing address

17 Silver Hill Rd
Acton, MA 01720-4227
Phone (978) 263-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000395 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729055140 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri Anesthesia LLCGroup PAC ID 2062931215, 38 clinicians
Gbaa Holdings PLLCGroup PAC ID 4789944646, 22 clinicians
Icon Anesthesia Services of New England LLCGroup PAC ID 2668732041, 21 clinicians

Practice addresses (Care Compare)

300 Grove St
Worcester, MA 01605-3908
Phone (781) 585-9522

45 A Discovery Way
Acton, MA 01720-4482
Phone (617) 936-7683

900 Cummings Ctr
Suite 122U
Beverly, MA 01915-6196
Phone (978) 922-4670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
195410MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Metrowest Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2017 Accepting new patients
North Shore Pain Management, LLC CurrentSince Jan 30, 2013 Accepting new patients
Tri Anesthesia LLC CurrentSince Aug 10, 2025 Accepting new patients
Anesthetic Solutions PC CurrentSince Mar 13, 2011 Accepting new patients
Icon Anesthesia Services of New England LLC CurrentSince Dec 1, 2022 Accepting new patients
Gbaa Holdings, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 21, 2018 Accepting new patients
Dha Endoscopy LLC CurrentSince Feb 21, 2022 Accepting new patients
North Shore Pain Management CurrentSince Jan 30, 2013 Accepting new patients
NSPG Billing LLC Past Accepting new patients
Anesthetics of Massachusetts, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthetics of Lowell, PC Past Accepting new patients
Dha Endoscopy LLC Past Accepting new patients

Locations

45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

900 Cummings Ctr
Ste 122U
Beverly, MA 01915
Phone (978) 922-4670

900 Cummings Ctr
Ste 219T
Beverly, MA 01915

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210

105 Erdman Way
Leominster, MA 01453
Phone (978) 466-7800

70 East St
Methuen, MA 01844
Phone (978) 682-1906

91 Montvale Ave
Ste 103
Stoneham, MA 02180
Phone (781) 835-2111

175 Worcester St
Wellesley Hls, MA 02481
Phone (617) 272-0004

120 W Center St
West Bridgewater, MA 02379
Phone (508) 230-8181

800 W Cummings Park
Ste 1200
Woburn, MA 01801
Phone (781) 330-0327

300 Grove St
Worcester, MA 01605
Phone (508) 754-0700

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447278551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SILVER HILL RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204227",
            "telephone_number": "978-263-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SILVER HILL RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204227",
            "telephone_number": "978-263-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "195410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.