Susan M Sullivan, FNP in Ballwin, MO - Medicare Nurse Practitioner

Susan M Sullivan, FNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Ballwin, Missouri. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Clinic Pulmonology - St. Louis, Llc and her current practice location is 15945 Clayton Rd Ste 120a, Ballwin, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 256-5000.

Susan M Sullivan is licensed to practice in Missouri (license number 2013039392) 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 1679900757.

Contact Information

	Susan M Sullivan, FNP
	15945 Clayton Rd Ste 120a, Ballwin, MO 63011-2490
	(636) 256-5000
	(636) 256-5043

Map and Direction

Provider's Profile

Full Name	Susan M Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	15945 Clayton Rd Ste 120a, Ballwin, Missouri
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:

Susan M Sullivan graduated from nursing school in 2013

NPI Data:

NPI Number: 1679900757
Provider Enumeration Date: 10/03/2013
Last Update Date: 02/10/2026

Medicare PECOS Information:

PECOS PAC ID: 9133358260
Enrollment ID: I20140212000578

Medical Identifiers

Medical identifiers for Susan M Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679900757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	2013039392 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital St Louis	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Pulmonology - St. Louis, Llc	2365599925	21

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. Susan M Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Pulmonology - St. Louis, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821137886 PECOS PAC ID: 2365599925 Enrollment ID: O20090416000577

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. Susan M 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
Susan M Sullivan, FNP 15945 Clayton Rd Ste 120a, Ballwin, MO 63011-2490 Ph: (636) 256-5000	Susan M Sullivan, FNP 15945 Clayton Rd Ste 120a, Ballwin, MO 63011-2490 Ph: (636) 256-5000

Reviews and Comments

Nurse Practitioner Nurses in Ballwin, MO

Dr. Mary Nancy Van Aman, DNP, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 816 Big Bend Woods Dr, Ballwin, MO 63021 Phone: 314-412-0898
Muhammad Idrees, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 909 Kiefer Ridge Dr, Ballwin, MO 63021 Phone: 314-570-7739
Lauren Bequette, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15945 Clayton Rd Ste 330, Ballwin, MO 63011 Phone: 636-256-5380
Kristi Ramos, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14400 Clayton Rd, Ballwin, MO 63011 Phone: 866-389-2727
Ann Elizabeth Cribbin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 636-220-1117
Brant Harber, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 639 Castle Ridge Dr, Ballwin, MO 63021 Phone: 314-210-9095
Mareesha Ante Carter, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 314-482-7547

Susan M Sullivan, FNP - Medicare Nurse Practitioner in Ballwin, MO