Kimberly Ann Sullivan, FNP - Medicare Nurse Practitioner in Gould, AR

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Kimberly Ann Sullivan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Gould, Arkansas. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Marillac Community Health Centers and her current practice location is 407 S Gould Ave, Gould, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 382-3080.

Kimberly Ann Sullivan is licensed to practice in Arkansas (license number 229467) 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 1538817325.

Contact Information

Kimberly Ann Sullivan, FNP
407 S Gould Ave,
Gould, AR 71643-5041
(870) 382-3080
(870) 263-4782

Map and Direction




Provider's Profile

Full NameKimberly Ann Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location407 S Gould Ave, Gould, Arkansas
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:
  • Kimberly Ann Sullivan graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1538817325
  • Provider Enumeration Date: 03/11/2022
  • Last Update Date: 06/23/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1052858909
  • Enrollment ID: I20240808004486

Medical Identifiers

Medical identifiers for Kimberly Ann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538817325NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95020227 (California)Secondary
363LF0000XNurse Practitioner - Family 229467 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson Regional Medical CenterPine bluff, ARHospital
Delta Memorial HospitalDumas, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Marillac Community Health Centers367875553570

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. Kimberly Ann Sullivan allows following entities to bill medicare on her behalf.
Entity NameJefferson Hospital Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932157674
PECOS PAC ID: 8123927431
Enrollment ID: O20040106000512

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. Kimberly Ann 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
Kimberly Ann Sullivan, FNP
Po Box 158,
Dumas, AR 71639-0158

Ph: (870) 382-3080		Kimberly Ann Sullivan, FNP
407 S Gould Ave,
Gould, AR 71643-5041

Ph: (870) 382-3080

Reviews and Comments


Nurse Practitioner Nurses in Gould, AR

Shundricka Rochelle Reddick, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 407 S Gould Ave, Gould, AR 71643
Phone: 870-263-4317    Fax: 870-263-4782
Lerizza D Nunag, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2540 State Highway 388, Gould, AR 71643
Phone: 870-850-8673    
Rose Marie Newby, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2540 State Highway 388, Gould, AR 71643
Phone: 870-850-8884    

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.