Individual provider Active NPI

Christine Lee Sullivan, PA-C

  • Physician Assistant
  • Ellsworth, ME
National Provider Identifier
1891297255
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1783 Issued in ME
Practice address
50 Union St.
Suite 3500
Ellsworth, ME 04605-1586
Phone
(207) 664-5672
Fax
(207) 664-5963
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1783 ME Primary

Addresses

Primary practice location

50 Union St.
Suite 3500
Ellsworth, ME 04605-1586

Mailing address

50 Union St.
Suite 3500
Ellsworth, ME 04605-1586
Phone (207) 664-5672

Other practice location 1

735 Wilson St
Brewer, ME 04412-1000
Phone (207) 989-1567

Other names 1

  • Christine Lee Bell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20180413000535 ME Practitioner - Physician Assistant 8820351455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

50 Union St
Ellsworth, ME 04605-1534

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.48 of 100Reported as group
Quality
71.71
Promoting interoperability
100
Improvement activities
40
Cost
69.07

Merit-based Incentive Payment System (MIPS)

Final score
93.25 of 100Reported as group
Quality
86.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1891297255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNION ST.",
            "address_2": "SUITE 3500",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051586",
            "telephone_number": "207-664-5672",
            "fax_number": "207-664-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION ST.",
            "address_2": "SUITE 3500",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051586",
            "telephone_number": "207-664-5672",
            "fax_number": "207-664-5963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Wilson St",
            "address_purpose": "LOCATION",
            "city": "Brewer",
            "state": "ME",
            "postal_code": "044121000",
            "country_code": "US",
            "telephone_number": "207-989-1567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CHRISTINE",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2023-12-19",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "BELL",
            "middle_name": "LEE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellsworth, ME

Sources for this page

Verify at the official NPI Registry.