Jessica Y Sullivan, NP - Medicare Nurse Practitioner in Waupun, WI

  1. Home
  2. Nurse Practitioner
  3. WI
  4. Waupun
Jessica Y Sullivan, NP is a medicare enrolled "Nurse Practitioner - Family" in Waupun, Wisconsin. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Agnesian Healthcare Inc and her current practice location is 608 W Brown St, Waupun, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 324-6801.

Jessica Y Sullivan is licensed to practice in Wisconsin (license number 2867) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134150022.

Contact Information

Jessica Y Sullivan, NP
608 W Brown St,
Waupun, WI 53963-1702
(920) 324-6801
(920) 324-9765

Map and Direction




Provider's Profile

Full NameJessica Y Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location608 W Brown St, Waupun, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Y Sullivan graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1134150022
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 01/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6901819531
  • Enrollment ID: I20060726000098

Medical Identifiers

Medical identifiers for Jessica Y Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134150022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 2867 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 2867 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Agnes HospitalFond du lac, WIHospital
Waupun Memorial HospitalWaupun, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agnesian Healthcare Inc1658289624360

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Y Sullivan allows following entities to bill medicare on her behalf.
Entity NameAgnesian Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Y Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Y Sullivan, NP
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8340		Jessica Y Sullivan, NP
608 W Brown St,
Waupun, WI 53963-1702

Ph: (920) 324-6801

Reviews and Comments


Nurse Practitioner Nurses in Waupun, WI

Ms. Mary Ann Gorske, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 S Madison St, Waupun, WI 53963
Phone: 920-324-5571    
Stephanie Lynn Bush, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 160 Gateway Dr, Waupun, WI 53963
Phone: 920-324-9899    Fax: 920-324-9899
Ms. Melissa A. Johnson, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 W Lincoln St, Waupun, WI 53963
Phone: 920-324-6290    
Samantha L Thiede, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6801    
Peggy L Keuler, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 W Lincoln St, Waupun, WI 53963
Phone: 920-324-5577    
Elizabeth Ann Kartechner, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6801    Fax: 920-324-9765

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.