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Active NPI 1386951085 Individual Practitioner Female Practitioner

Jessica M Sullivan , CNP

Nurse Practitioner • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Jessica Sullivan, CNP is a registered healthcare professional specializing in Nurse Practitioner in Bloomington, IL. Practice services are available at 1405 EASTLAND DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, administration of pneumococcal vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1405 Eastland Dr

Bloomington, IL 617013514

Telephone 3096612400
Fax 3096616266

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
45 Specialists

Practicing in Bloomington, IL (4929 Statewide)

Telehealth Adoption Rate
24.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
25 21 $154.80 $61.08

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209008299

(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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Shelby Ahrens , PA-C

Physician Assistant

NPI 1174316558

Physician Assistant (Certified)

Laine Galardini

Nurse Practitioner

NPI 1265915474
Kimberly Nord , NP

Nurse Practitioner

NPI 1396789210

Nurse Practitioner

Tom Kenney

Family Medicine

NPI 1710070057
Natalie Jordan , APRN, CNP

Nurse Practitioner - Family

NPI 1740901123

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Jayul Tailor , MD

Family Medicine

NPI 1780316950

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 August 23, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2013

Registered at 1405 EASTLAND DR, BLOOMINGTON, IL 617013514 (Tel: 3096612400)

📍
Updated Business Mailing Address August 23, 2013

Registered at 1405 EASTLAND DR, BLOOMINGTON, IL 617013514 (Tel: 3096612400)

👤
Provider Name / Credentials Updated August 23, 2013

Recorded as JESSICA SULLIVAN, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2013

Nurse Practitioner (License #209008299 in IL)

🟢
Initial NPI Registration & Enumeration September 02, 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: 1386951085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2010
Last Update: August 23, 2013
Sole Proprietor: No

Mailing Address

1405 Eastland Dr

Bloomington, IL 617013514

Phone: 3096612400

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.