Robert Sullivan, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

267595 Issued in TX

Practice address

8821 Mallory CT
Waxahachie, TX 75167-6007

Phone

(972) 795-8274

NPI assigned

Apr 1, 2020

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 TX

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrative Emergency Services Physician Group PAGroup PAC ID 0749447936, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Emergency Hospital Hospital, Burleson, TX, CCN 670107

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

92.56

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

99.43 of 100Reported as group

Quality

93.73

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Integrative Emergency Services Physician Group PA

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1285922542
  Medicare reassignment Care Compare group NPD
• 24 Hour Physicians, Inc

  • Emergency Medicine Physician
  • Spring, TX
  • NPI 1396083424
  Medicare reassignment NPD
• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  TX

  Medicare reassignment NPD
• Welltrackone Corporation

  • Specialist
  • Hilton Head Island, SC
  • NPI 1770367468

  TX

  Medicare reassignment NPD

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

• Ebd Bemc Burleson, LLC

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1598196206
  Care Compare affiliation
• Ebd Bemc Burleson, LLC

  • General Acute Care Hospital
  • Burleson, TX
  • NPI 1679903967
  Care Compare affiliation
• Ebd Bemc Burleson, LLC

  • General Acute Care Hospital
  • Grand Prairie, TX
  • NPI 1831629526
  Care Compare affiliation

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1972131027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 MALLORY CT",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751676007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 MALLORY CT",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751676007",
            "telephone_number": "972-795-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ROBERT",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "267595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Streicher
• Mary Jean Strength, M.D.
• Adrienne Denise Strickland, RN
• Kristin Joy Sulak, FNP-C
• Brittany Nicole Sullivan, RN
• Mary Sumrow, PTA
• Surgery Center of Waxahachie LP
• James M Sutton, APRN
• Erin Marie Swanson, DC
• Alicia Ann Sward, LCSW

• Family Nurse Practitioner in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.