Ms Christine Ann Sullivan, CNM, FNP, PHD, MSN in San Diego, CA

Ms Christine Ann Sullivan, CNM, FNP, PHD, MSN is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. She graduated from nursing school in 1998 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Urgent Care Network and her current practice location is 34800 Bob Wilson Dr, Bldg 6 5th Floor Credentialing, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 532-6471.

Ms Christine Ann Sullivan is licensed to practice in California (license number 13187) 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 1265424121.

Contact Information

	Ms Christine Ann Sullivan, CNM, FNP, PHD, MSN
	34800 Bob Wilson Dr, Bldg 6 5th Floor Credentialing, San Diego, CA 92134-5000
	(619) 532-6471
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Christine Ann Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	27 Years
Location	34800 Bob Wilson Dr, San Diego, California
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:

Ms Christine Ann Sullivan graduated from nursing school in 1998

NPI Data:

NPI Number: 1265424121
Provider Enumeration Date: 08/17/2005
Last Update Date: 03/10/2015

Medicare PECOS Information:

PECOS PAC ID: 0749267375
Enrollment ID: I20040701001122

Medical Identifiers

Medical identifiers for Ms Christine Ann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265424121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WW0101X	Registered Nurse - Women's Health Care, Ambulatory	393917 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	13187 (California)	Primary
367A00000X	Advanced Practice Midwife	548 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Urgent Care Network	7315284130	13

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. Ms Christine Ann Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Elizabeth Salada Md A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619154804 PECOS PAC ID: 5496833279 Enrollment ID: O20080418000352

Entity Name	Southern California Urgent Care Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861975500 PECOS PAC ID: 7315284130 Enrollment ID: O20190131001874

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. Ms Christine 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 Address	Practice Location Address
Ms Christine Ann Sullivan, CNM, FNP, PHD, MSN 34800 Bob Wilson Dr, Bldg 6 5th Floor Credentialing, San Diego, CA 92134-5000 Ph: (619) 532-6471	Ms Christine Ann Sullivan, CNM, FNP, PHD, MSN 34800 Bob Wilson Dr, Bldg 6 5th Floor Credentialing, San Diego, CA 92134-5000 Ph: (619) 532-6471

Reviews and Comments

Nurse Practitioner Nurses in San Diego, CA

Lorena Marie Fujii, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8910
Susan Kermoian Yaszay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Gateway Center Way, San Diego, CA 92102 Phone: 619-515-2300 Fax: 619-232-1360
Dale Michael Trujillo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798
Amy M Sorgent, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Ms Christine Ann Sullivan, CNM, FNP, PHD, MSN - Medicare Nurse Practitioner in San Diego, CA