Active NPI 1639487952 Individual Practitioner Female Practitioner

Sandra Eberle Sullivan , NP

Nurse Practitioner • Encinitas, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sandra Sullivan, NP is a certified Nurse Practitioner practicing in Encinitas, CA. With approximately 16 years of clinical experience since completing medical education in 2010, Sandra Sullivan delivers high-quality medical care to the local community at 320 SANTA FE DR.

Sandra Sullivan is affiliated with Scripps Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

320 Santa Fe Dr
Suite 308

Encinitas, CA 920245138

Telephone 7602305188

Fax 7602305203

Associated Practice Facility / Clinic

🏢 Scott Mercer, Md, Inc Facility NPI 1942201785

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Encinitas, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +5.4 yrs vs City Avg

City Avg: 10.6 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

32 Specialists

Practicing in Encinitas, CA (8378 Statewide)

Telehealth Adoption Rate

18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (16 Years) 16 Yrs

Encinitas Specialty Average (10.6 Years) 10.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	22	$269.23	$102.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$187.28	$68.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$101.05	$43.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$187.36	$62.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	34	$611.38	$82.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	11	$187.14	$63.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	24	$453.02	$67.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$473.16	$65.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$691.68	$93.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	17	$197.97	$63.42
80307 Testing for presence of drug, by chemistry analyzers	17	16	$390.43	$63.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$686.16	$90.24
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$465.48	$64.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	31	17	$1900.00	$35.49
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	18	$3500.00	$108.00
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$3900.00	$224.84

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA NP19940

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Scripps Health

9898 Genesee Ave, La Jolla, CA 920371205

Phone: 8584559100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Timothy Peppers , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1437241981

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2016

Registered at 320 SANTA FE DR, SUITE 308, ENCINITAS, CA 920245138 (Tel: 7602305188)

📍

Updated Business Mailing Address January 18, 2016

Registered at PO BOX 429, CARDIFF BY THE SEA, CA 920070429 (Tel: 7602305188)

👤

Provider Name / Credentials Updated January 18, 2016

Recorded as SANDRA SULLIVAN, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2016

Nurse Practitioner (License #NP19940 in CA)

🟢

Initial NPI Registration & Enumeration September 21, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639487952

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 21, 2010

Last Update: January 18, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 429

Cardiff By The Sea, CA 920070429

Phone: 7602305188

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.