Mary Kathleen Sullivan, DNP, FNP, RN in Memphis, TN

Mary Kathleen Sullivan, DNP, FNP, RN is a medicare enrolled "Nurse Practitioner - Family" in Memphis, Tennessee. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baptist Memorial Medical Group, Inc., Consolidated Medical Practices Of Memphis,pllc and her current practice location is 5659 S Rex Rd, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 763-3636.

Mary Kathleen Sullivan is licensed to practice in Tennessee (license number 12894) 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 1053735282.

Contact Information

	Mary Kathleen Sullivan, DNP, FNP, RN
	5659 S Rex Rd, Memphis, TN 38119-3821
	(901) 763-3636
	(901) 763-3694

Map and Direction

Provider's Profile

Full Name	Mary Kathleen Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	5659 S Rex Rd, Memphis, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Kathleen Sullivan graduated from nursing school in 2007

NPI Data:

NPI Number: 1053735282
Provider Enumeration Date: 02/07/2014
Last Update Date: 04/28/2026

Medicare PECOS Information:

PECOS PAC ID: 1052537685
Enrollment ID: I20140717000287

Medical Identifiers

Medical identifiers for Mary Kathleen Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053735282	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	APN 12894 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	12894 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baptist Memorial Medical Group, Inc.	5193610228	573
Consolidated Medical Practices Of Memphis,pllc	1759459845	114

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. Mary Kathleen Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Consolidated Medical Practices Of Memphis,pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508027491 PECOS PAC ID: 1759459845 Enrollment ID: O20081002000198

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. Mary Kathleen 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 Address	Practice Location Address
Mary Kathleen Sullivan, DNP, FNP, RN 350 N Humphreys Blvd, Memphis, TN 38120-2177 Ph: (901) 226-4003	Mary Kathleen Sullivan, DNP, FNP, RN 5659 S Rex Rd, Memphis, TN 38119-3821 Ph: (901) 763-3636

Reviews and Comments

Nurse Practitioner Nurses in Memphis, TN

Michelle L Rush, MSN, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 Fax: 901-545-1711
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Barbara A Overbey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-2200 Fax: 901-259-2715
Miss Jennifer Elaine Roemer, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-3300
Florida Allen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3362 S 3rd St, Memphis, TN 38109 Phone: 901-701-2510 Fax: 901-260-8598
Mrs. Sarah Michelle Wredling, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4066 Summer Ave, Memphis, TN 38122 Phone: 901-452-7391

Mary Kathleen Sullivan, DNP, FNP, RN - Medicare Nurse Practitioner in Memphis, TN