Individual provider Active NPI

Elizabeth Mary Sullivan, NP

  • Nurse Practitioner
  • Hopkins, MN
National Provider Identifier
1740717842
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5319 Issued in MN
Practice address
15 8TH Ave N # 1
Hopkins, MN 55343-7611
Phone
(952) 933-5085
NPI assigned
May 19, 2017
Last updated
May 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5319 MN Primary

Addresses

Primary practice location

15 8TH Ave N # 1
Hopkins, MN 55343-7611

Mailing address

15 8TH Ave N # 1
Hopkins, MN 55343-7611
Phone (952) 933-5085

Other names 1

  • Elizabeth Mary Leighton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170824000108 MN Practitioner - Nurse Practitioner 7719259860 Reassigns benefits to 2 organizations
I20191021001276 WI Practitioner - Nurse Practitioner 7719259860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopkins Health and Wellness Center PAGroup PAC ID 5496703829, 11 clinicians

Practice addresses (Care Compare)

15 8TH Ave N
Hopkins, MN 55343-7611
Phone (952) 933-5085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5319MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hopkins Health and Wellness Center PA Nurse Practitioner CurrentSince May 5, 2021 Accepting new patients
DMR Methods Nurse Practitioner CurrentSince Nov 2, 2025 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

15 8th Ave N
Hopkins, MN 55343
Phone (952) 933-5085

15 8th Ave N
#1
Hopkins, MN 55343
Phone (952) 933-5085

15 8th Ave N
Ste 2
Hopkins, MN 55343
Phone (952) 207-2768

1687 Woodlane Dr
Ste 201
Woodbury, MN 55125
Phone (651) 621-8803

Interoperability endpoints

  • Direct secure messaging: elizabeth.sullivan@hhawcp-mn.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, 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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1740717842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 8TH AVE N # 1",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437611",
            "telephone_number": "952-933-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 8TH AVE N # 1",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437611",
            "telephone_number": "952-933-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "5319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LEIGHTON",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hopkins, MN

Sources for this page

Verify at the official NPI Registry.