Rachel Sullivan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP8489 Issued in AZ

Practice address

6239 E Brown Rd
Ste 112
Mesa, AZ 85205-4933

Phone

(480) 696-5851

NPI assigned

Mar 18, 2016

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 AZ

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.2 of 100Reported as group

Quality

67.68

Promoting interoperability

100

Improvement activities

40

Cost

76.33

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations (25 of 62)

Interoperability endpoints

• Direct secure messaging: rachel.sullivan.1@11625.direct.athenahealth.com

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.

• Akdhc, LLC

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1316902208
  Medicare reassignment Care Compare group NPD
• Desert Kidney Associates PLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1144372905
  Medicare reassignment NPD
• Akdhc Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
  • NPI 1346469731
  NPD
• Akdhc, LLC

  • Nephrology Physician
  • Tucson, AZ
  • NPI 1073840922
  NPD
• Akdhc, LLC

  • Nephrology Physician
  • Bullhead City, AZ
  • NPI 1487140539
  NPD
• Akdhc, LLC

  • Nephrology Physician
  • Glendale, AZ
  • NPI 1518156942
  NPD
• Akdhc, LLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1205274735
  NPD (past)
• Renal Dimensions, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Peridot, AZ
  • NPI 1487756656
  NPD (past)

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1801257761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W BASELINE RD",
            "address_2": "STE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106041",
            "telephone_number": "480-834-9039",
            "fax_number": "480-964-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6239 E BROWN RD",
            "address_2": "STE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054933",
            "telephone_number": "480-696-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priti Sud, MD
• Margaret Sudimack
• Eric Suedmeyer, PHD
• Suekko Management
• G Andrew Sulit, MD
• Shawn E Sullivan, MD
• Shea Sullivan, PHYSICIAN ASSISTANT
• Tessa Sullivan
• Timothy Mark Sullivan, P.A.
• Jamie Marie Sullwold, MA

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.