Jamie Sullivan, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704253651 Issued in MI

Practice address

624 N 5TH St
Ishpeming, MI 49849-1713

Phone

(906) 458-2230

NPI assigned

Apr 15, 2021

Sex

Female

Sole proprietor

Yes

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 MI

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

DLP Marquette Physician Practices IncGroup PAC ID 9931359601, 193 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054
• Bell Hospital Hospital, Ishpeming, MI, CCN 231321
• Baraga County Memorial Hospital Hospital, L' Anse, MI, CCN 231307
• Up Health System Portage Hospital, Hancock, MI, CCN 230108
• Aspirus Keweenaw Hospital and Clinics Hospital, Laurium, MI, CCN 231319

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jamie.sullivan.1@8233.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.

• DLP Marquette Physician Practices Inc

  • Obesity Medicine (Internal Medicine) Physician
  • Marquette, MI
  • NPI 1487902995

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Upper Peninsula Rehabilitation Medicine Associates P.C.

  • Physical Medicine & Rehabilitation Physician
  • Marquette, MI
  • NPI 1659468064
  Medicare reassignment NPD
• DLP Marquette Physician Practices Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Marquette, MI
  • NPI 1073861431
  NPD
• DLP Marquette Physician Practices Inc

  • Rural Health Clinic/Center
  • Marquette, MI
  • NPI 1205635760
  NPD
• DLP Marquette Physician Practices Inc

  • Emergency Medicine Physician
  • Marquette, MI
  • NPI 1366790727
  NPD (past)

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

• Acquisition Bell Hospital LLC

  • Critical Access Hospital
  • Ishpeming, MI
  • NPI 1699101345
  Care Compare affiliation
• Aspirus Keweenaw

  • Rural Health Clinic/Center
  • Ontonagon, MI
  • NPI 1023161932

  Hospital

  Care Compare affiliation
• Aspirus Keweenaw

  • Pharmacy
  • Ontonagon, MI
  • NPI 1104516376

  Hospital

  Care Compare affiliation
• Aspirus Keweenaw

  • Critical Access Hospital
  • Laurium, MI
  • NPI 1326115569
  Care Compare affiliation
• Baraga County Memorial Hospital

  • Critical Access Hospital
  • Lanse, MI
  • NPI 1558479824
  Care Compare affiliation
• DLP Marquette General Hospital LLC

  • General Acute Care Hospital
  • Marquette, MI
  • NPI 1568727048
  Care Compare affiliation
• Portage Hospital LLC

  • General Acute Care Hospital
  • Hancock, MI
  • NPI 1245667229
  Care Compare affiliation

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1972184646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 N 5TH ST",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491713",
            "telephone_number": "906-458-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 N 5TH ST",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491713",
            "telephone_number": "906-458-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JAMIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704253651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erich Glenn Smith, MD
• Sarah Elizabeth Smith, RN
• Virginia Frances Smith, WHNP-BC
• Ronald Snyder
• Patricia Diane Suiste, LPN
• Cassie Marie Sundberg, PA-C
• Elizabeth K. Sundblad, BS
• Superior Active Partners LLC
• David Scott Swanson, RN
• Gregory Miles Toutant

• Nurse Practitioner in Ishpeming, MI
• Providers in Ishpeming, MI by specialty
• Nurse Practitioner in Michigan

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