Johnna Kathryn Sullivan, FNP-C - Medicare Nurse Practitioner in King Of Prussia, PA

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Johnna Kathryn Sullivan, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in King Of Prussia, Pennsylvania. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of Pennsylvania Llc and her current practice location is 312 S Henderson Rd, King Of Prussia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 205-1264.

Johnna Kathryn Sullivan is licensed to practice in Pennsylvania (license number SP023057) 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 1356930804.

Contact Information

Johnna Kathryn Sullivan, FNP-C
312 S Henderson Rd,
King Of Prussia, PA 19406-2408
(610) 205-1264
Not Available

Map and Direction




Provider's Profile

Full NameJohnna Kathryn Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location312 S Henderson Rd, King Of Prussia, Pennsylvania
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:
  • Johnna Kathryn Sullivan graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1356930804
  • Provider Enumeration Date: 01/11/2021
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466851969
  • Enrollment ID: I20230425002564

Medical Identifiers

Medical identifiers for Johnna Kathryn Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356930804NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F347007-01 (New York)Secondary
363LF0000XNurse Practitioner - Family SP023057 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Diagnostic Of Pennsylvania Llc539582730774

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. Johnna Kathryn Sullivan allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of Pennsylvania Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881738037
PECOS PAC ID: 5395827307
Enrollment ID: O20080130000250
Entity NameMinuteclinic Video Virtual Care, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316402746
PECOS PAC ID: 0143650416
Enrollment ID: O20200429001777

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. Johnna Kathryn 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
Johnna Kathryn Sullivan, FNP-C
312 S Henderson Rd,
King Of Prussia, PA 19406-2408

Ph: (610) 205-1264		Johnna Kathryn Sullivan, FNP-C
312 S Henderson Rd,
King Of Prussia, PA 19406-2408

Ph: (610) 205-1264

Reviews and Comments


Nurse Practitioner Nurses in King Of Prussia, PA

Mrs. Nicole Elaine Wilson-carr, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 357 S Gulph Rd, King Of Prussia, PA 19406
Phone: 610-892-3800    
Kelsi Anne Lefever, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 860 1st Ave Ste 2, King Of Prussia, PA 19406
Phone: 610-595-5517    Fax: 215-392-3088
Margaret Hesser Marsello, MSN, RN, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 550 S Goddard Blvd, King Of Prussia, PA 19406
Phone: 106-337-3232    
Gregory William Wesley-lynch, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 625 Clark Ave, King Of Prussia, PA 19406
Phone: 215-203-4072    
Lisa Masterson Hobson, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 625 Clark Avenue, King Of Prussia, PA 19406
Phone: 610-992-3920    
Joanna Lynn Palac, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 550 S Goddard Blvd, King Of Prussia, PA 19406
Phone: 610-337-3232    
Mrs. Margaret Hamel-daymon, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 950 Pulaski Dr, Chop Imaging Center The King Of Prussia Speciality Care, King Of Prussia, PA 19406
Phone: 215-590-7173    Fax: 215-590-1064

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.