Kathleen Hamilton O'Sullivan, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024192539 Issued in VA

Practice address

359 Broadway
Rockland, ME 04841-2350

Phone

(623) 499-8530

NPI assigned

Feb 17, 2025

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

Other names 1

• Katie Hamilton O'Sullivan Other name

Medicare fee-for-service enrollment

Enrolled in CA

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Wound Specialists PCGroup PAC ID 2062946163, 7 clinicians

Ming-Wei Wu IncGroup PAC ID 4284726159, 38 clinicians

Practice addresses (Care Compare)

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.

• Ming-Wei Wu, Inc

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1699975144

  CA

  Medicare reassignment Care Compare group NPD
• Professional Wound Specialists PC

  • Surgery Physician
  • Pomona, CA
  • NPI 1437988326
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1982409785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 HUNTMASTER TER NE UNIT 302",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764560",
            "telephone_number": "623-499-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 BROADWAY",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412350",
            "telephone_number": "623-499-8530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 Huntmaster Ter NE Unit 302",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201764560",
            "country_code": "US",
            "telephone_number": "623-499-8530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "KATHLEEN",
        "middle_name": "HAMILTON",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "O'SULLIVAN",
            "middle_name": "HAMILTON",
            "credential": "APRN, FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard E. Nilson, MD
• Holly Kathleen Noonan, LMSW-CC
• North Pine Care LLC
• Susanna Norwood-Burns, CADC
• Leah Jo O'Neill, CADC
• Teagan F O'Toole, PA-C
• Ocean Way Manor Inc
• Cara Lynn Olsen
• Open Door Wellness LLC,
• Mary-Ellen Ostherr, MA LADC CCS

• Family Nurse Practitioner in Rockland, ME
• Providers in Rockland, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.