Hazel Leann Sullivan, AG- ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R854988 Issued in MS

Practice address

1314 19TH Ave
Meridian, MS 39301-4116

Phone

(601) 483-0011

NPI assigned

Jan 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
• Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069
• Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hsullivan628715@direct.bmhcc.org

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.

• Medical Foundation, Inc.

  • Family Medicine Physician
  • Meridian, MS
  • NPI 1609820539

  Acute Care

  Medicare reassignment Care Compare group NPD
• Rush Medical Foundation

  dba Professional Services Division

  • Anesthesiology Physician
  • Meridian, MS
  • NPI 1588625594
  NPD
• Rush Medical Foundation

  dba Ochsner Rush Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1770543399
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anderson Regional Medical Center

  dba Baptist Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952
  Care Compare affiliation
• Rush Medical Foundation

  dba Ochsner Rush Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1770543399
  Care Compare affiliation
• Sta-Home Health Agency of Carthage, Inc

  dba AccentCare Home Health of Carthage

  • Home Health Agency
  • Carthage, MS
  • NPI 1275674533
  Care Compare affiliation

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

{
    "created_epoch": "1390003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390003200000",
    "number": "1679995112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 LITTLE ROCK DECATUR RD",
            "city": "DECATUR",
            "state": "MS",
            "postal_code": "393279118",
            "telephone_number": "601-416-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014116",
            "telephone_number": "601-483-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "HAZEL",
        "middle_name": "LEANN",
        "credential": "AG- ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-18",
        "last_updated": "2014-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R854988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Stokes, PMHNP
• Leshonda E Strickland, CRNA
• William Pam Strickland, CMHT
• Subtle Mental Wellness LLC
• Sugafoot Medical Equipment (SugaFoot Medical Footwear)
• Summit Dental LLC
• Joseph C. Sumrall, D.O.
• Kristen Poole Sumrall, D.M.D.
• Larrian Swain, SLP
• Sweet Dreams Anesthesia, PLLC

• Acute Care Nurse Practitioner in Meridian, MS
• Providers in Meridian, MS by specialty
• Acute Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2014; 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.

Verify at the official NPI Registry.