Active NPI
Elise D Sullivan, MD
- Family Medicine Physician
- Craig, CO
National Provider Identifier
1538365986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 54286
- Practice address
- 745 Russell St
Craig, CO 81625-2019 - Phone
- (970) 824-8233
- NPI assigned
- Jun 22, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 54286 | CO | Primary |
Addresses
Primary practice location
745 Russell St
Craig, CO 81625-2019
Mailing address
745 Russell St
Craig, CO 81625-2019
Phone (970) 824-8233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34877215 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Colorado School of Medicine, Denver, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
745 Russell St
Craig, CO 81625-2019
Phone (970) 824-8233
Hospital & facility affiliations
- Northwest Colorado Health
- Northwest Colorado Health
- Memorial Hospital, the
- Uchealth Yampa Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.89 of 100
- Quality
- 86.88
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54286 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Colorado Visiting Nurse Association | Current | Accepting new patients | |
| Northwest Colorado Visiting Nurse Association | Current | Accepting new patients | |
| Northwest Colorado Visting Nurse Association | Past | Accepting new patients |
Locations
745 Russell St
#0
Craig, CO 81625
745 Russell St
Craig, CO 81625
Phone (970) 824-8233
940 Central Park Dr
Ste 101
Steamboat Springs, CO 80487
Phone (970) 871-7680
Organizations & group practices 3
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.
-
- Community Health Clinic/Center
- Craig, CO
- NPI 1073693677
-
- Skilled Nursing Facility
- Steamboat Springs, CO
- NPI 1316764517
-
- Federally Qualified Health Center (FQHC)
- Craig, CO
- NPI 1063663292
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Steamboat Springs, CO
- NPI 1134217631
-
- Home Health Agency
- Steamboat Springs, CO
- NPI 1437256674
-
- Community Based Hospice Care Agency
- Craig, CO
- NPI 1497358469
-
- Home Health Agency
- Craig, CO
- NPI 1700489853
-
- Critical Access Hospital
- Craig, CO
- NPI 1063418424
-
- General Acute Care Hospital
- Oak Creek, CO
- NPI 1164081345
-
- General Acute Care Hospital
- Hayden, CO
- NPI 1295394203
-
- General Acute Care Hospital
- Steamboat Springs, CO
- NPI 1790787307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1538365986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 RUSSELL ST",
"city": "CRAIG",
"state": "CO",
"postal_code": "816252019",
"telephone_number": "970-824-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 RUSSELL ST",
"city": "CRAIG",
"state": "CO",
"postal_code": "816252019",
"telephone_number": "970-824-8233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "ELISE",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "54286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34877215",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Craig, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.