Mariah Sullivan, RN - Registered Nurse in Glenfield, NY

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Mariah Sullivan, RN is a Registered Nurse - General Practice based in Glenfield, New York. Mariah Sullivan is licensed to practice in New York (license number 577174) and her current practice location is 6537 Johnson Rd, Glenfield, New York. She can be reached at her office (for appointments etc.) via phone at (315) 571-4016.

NPI number for Mariah Sullivan is 1053252551 and her current mailing address is 1738 Thayer Hill Rd, Boonville, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053252551.

Contact Information

Mariah Sullivan, RN
6537 Johnson Rd,
Glenfield, NY 13343-4120
(315) 571-4016
Not Available

Map and Direction




Provider's Profile

Full NameMariah Sullivan
GenderFemale
SpecialityRegistered Nurse - General Practice
Location6537 Johnson Rd, Glenfield, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053252551
  • Provider Enumeration Date: 04/01/2026
  • Last Update Date: 04/01/2026

Medical Identifiers

Medical identifiers for Mariah Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053252551NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice 577174 (New York)Primary

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. Mariah Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mariah Sullivan, RN
1738 Thayer Hill Rd,
Boonville, NY 13309-1807

Ph: (315) 571-4016		Mariah Sullivan, RN
6537 Johnson Rd,
Glenfield, NY 13343-4120

Ph: (315) 571-4016

Reviews and Comments


Registered Nurse Nurses in Glenfield, NY

Mrs. Julia C Ielfield, RN, BSN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5009 State Rte 12, Glenfield, NY 13343
Phone: 315-286-5959    
Lynne T Worden, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6537 Johnson Rd, Glenfield, NY 13343
Phone: 315-783-9474    
Krista Leigh Kloster,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6537 Johnson Rd, Glenfield, NY 13343
Phone: 315-783-9474    

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.