Andrew Sullivan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1127604 Issued in IA

Practice address

802 Ackerly St
Lamoni, IA 50140-1544

Phone

(641) 784-7911

NPI assigned

Jul 9, 2015

Last updated

Jul 9, 2015By the provider in NPPES

Sex

Male

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 IA

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

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infinity HealthGroup PAC ID 5597717496, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Everystep Home health agency, Creston, IA, CCN 167430
• Everystep Hospice, Des Moines, IA, CCN 161500
• Decatur County Hospital Hospital, Leon, IA, CCN 161340
• Clarke County Hospital Hospital, Osceola, IA, CCN 161348

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.sullivan.1@23533.direct.athenahealth.com
• Direct secure messaging: asullivan636646@direct.ochin.org

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.

• Infinity Health

  • Federally Qualified Health Center (FQHC)
  • Leon, IA
  • NPI 1770521981
  Medicare reassignment Care Compare group
• Focused Life Health Care PC

  dba Focused Life Clinic

  • Psychiatry Physician
  • West Des Moines, IA
  • NPI 1417621665
  Medicare reassignment
• Infinity Health

  • Federally Qualified Health Center (FQHC)
  • Osceola, IA
  • NPI 1124525647
  NPD
• Infinity Health

  • Federally Qualified Health Center (FQHC)
  • Bedford, IA
  • NPI 1417768565
  NPD
• Infinity Health

  • Federally Qualified Health Center (FQHC)
  • Corydon, IA
  • NPI 1669697074
  NPD (past)

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

• Clarke County Public Hospital

  • Critical Access Hospital
  • Osceola, IA
  • NPI 1114954997
  Care Compare affiliation
• Decatur County Hospital

  • Critical Access Hospital
  • Leon, IA
  • NPI 1144209255
  Care Compare affiliation
• Visiting Nurse Services of Iowa

  dba EveryStep

  • Home Health Agency
  • Creston, IA
  • NPI 1144689134
  Care Compare affiliation
• Visiting Nurse Services of Iowa

  dba EveryStep

  • Community Based Hospice Care Agency
  • Des Moines, IA
  • NPI 1275096919
  Care Compare affiliation

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1780067678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NE 14TH ST",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501441206",
            "telephone_number": "641-446-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 ACKERLY ST",
            "city": "LAMONI",
            "state": "IA",
            "postal_code": "501401544",
            "telephone_number": "641-784-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "1127604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Miller, MAT, ATC, LAT
• Bryan Thomas Nowlin, DC
• Leah A Olson, LMSW
• Amanda Rodriguez, MS, LAT, ATC
• Spencer Foot and Ankle Clinic Inc
• Terry B. Lesan, D.D.S., P.L.C.
• Townline Medical Clinic LLC (d/b/a Family Health Clinic)
• Jessica Wallace

• Physician Assistant in Lamoni, IA
• Providers in Lamoni, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.