Amber Sullivan, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

102160 Issued in WV

Practice address

1000 Tavern Rd Ste 100
Martinsburg, WV 25401-2853

Phone

(304) 267-9355

Fax

(304) 267-9358

NPI assigned

Oct 29, 2012

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

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in WV

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

East Mountain Health Physicians IncGroup PAC ID 9133405327, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winchester Medical Center Hospital, Winchester, VA, CCN 490005
• Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
• Jefferson Medical Center Hospital, Ranson, WV, CCN 511319
• Valley Health War Memorial Hospital Hospital, Berkeley Springs, WV, CCN 511309

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asullivan581769@valleyhealth.direct-ci.com
• Direct secure messaging: asullivan581769@soc.inova.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.

• East Mountain Health Physicians Inc.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1114460797
  Medicare reassignment Care Compare group NPD
• East Mountain Health Physicians, Inc.

  • Orthopaedic Surgery Physician
  • Martinsburg, WV
  • NPI 1437885365
  NPD
• East Mountain Health Physicians, Inc.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1932621919
  NPD
• East Mountain Health Physicians, Inc.

  • Occupational Medicine Clinic/Center
  • Ranson, WV
  • NPI 1841711512
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• City Hospital, Inc

  • General Acute Care Hospital
  • Martinsburg, WV
  • NPI 1457389249
  Care Compare affiliation
• Jefferson Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Ranson, WV
  • NPI 1104242569
  Care Compare affiliation
• Jefferson Memorial Hospital

  • Internal Medicine Physician
  • Ranson, WV
  • NPI 1316364953

  Hospital

  Care Compare affiliation
• Jefferson Memorial Hospital

  • Critical Access Hospital
  • Ranson, WV
  • NPI 1891722377
  Care Compare affiliation
• Jefferson Memorial Hospital

  • Anesthesiology Physician
  • Ranson, WV
  • NPI 1982704961

  Hospital

  Care Compare affiliation
• War Memorial Hospital, Inc.

  • Critical Access Hospital
  • Berkeley Springs, WV
  • NPI 1467450353
  Care Compare affiliation
• Winchester Medical Center

  • General Acute Care Hospital
  • Winchester, VA
  • NPI 1619928017
  Care Compare affiliation
• Winchester Medical Center

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1821342999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 DEVONSHIRE RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404507",
            "telephone_number": "301-302-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TAVERN RD STE 100",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012853",
            "telephone_number": "304-267-9355",
            "fax_number": "304-267-9358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 E 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Ranson",
            "state": "WV",
            "postal_code": "254381641",
            "country_code": "US",
            "telephone_number": "304-724-7200",
            "fax_number": "304-724-7208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "AMBER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "102160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asullivan581769@soc.inova.org",
            "affiliation": "N",
            "address_1": "116 E 3rd Ave",
            "city": "Ranson",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254381641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asullivan581769@soc.inova.org",
            "affiliation": "N",
            "address_1": "1000 Tavern Rd Ste 100",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asullivan581769@soc.inova.org",
            "affiliation": "N",
            "address_1": "101 Marcley Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Josh Stump
• Lisa Stump
• Kevin Taylor Sturm, PTA
• Lydia Styles
• Sublime Behavioral Health PLLC
• Jennifer D Sullivan
• Kathryn L Sullivan
• Crystal L Sulser
• Kristin Renee Summers, MSW, LGSW
• Raja Gopal Sunkavalli, M.D

• Family Nurse Practitioner in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; 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.