Active NPI 1740360353 Individual Practitioner Female Practitioner

Wanda J Sullivan , RN

Nurse Practitioner • Ruston, LA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Wanda Sullivan, RN is a certified Nurse Practitioner practicing in Ruston, LA. With approximately 23 years of clinical experience since completing medical education in 2003, Wanda Sullivan delivers high-quality medical care to the local community at 765 S BONNER ST.

Wanda Sullivan is affiliated with Lsu Health Sciences Center Shreveport Faculty Group Practice and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19), automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

765 S Bonner St

Ruston, LA 712705801

Telephone 3182025935

Fax 3182025933

Associated Practice Facility / Clinic

🏢 Boersma Clinic, Llc Facility NPI 1104024686

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ruston, LA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +11.3 yrs vs City Avg

City Avg: 11.7 Yrs

State Avg: 11.0 Yrs

Regional Practice Density

15 Specialists

Practicing in Ruston, LA (948 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (23 Years) 23 Yrs

Ruston Specialty Average (11.7 Years) 11.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	56	$409.00	$98.33
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	58	55	$150.00	$39.90
99213 Established patient office or other outpatient visit, typically 15 minutes	48	45	$323.00	$69.54
81003 Automated urinalysis test	24	20	$14.00	$2.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$461.00	$132.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	18	$112.00	$11.12
87502 Detection test by nucleic acid for multiple types influenza virus	16	15	$492.00	$90.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$414.00	$88.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	54	$326.23	$71.82
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	45	43	$150.00	$40.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	36	$418.31	$103.16
J1885 Injection, ketorolac tromethamine, per 15 mg	32	14	$5.00	$0.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	20	$162.56	$11.25
87502 Detection test by nucleic acid for multiple types influenza virus	25	25	$439.84	$93.88
81003 Automated urinalysis test	24	20	$15.07	$2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$468.96	$135.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$419.82	$90.80
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	13	13	$185.00	$50.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	105	101	$185.00	$50.88
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	45	45	$231.79	$18.21
99213 Established patient office or other outpatient visit, typically 15 minutes	39	38	$360.43	$73.59
87502 Detection test by nucleic acid for multiple types influenza virus	37	36	$166.00	$94.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$483.51	$103.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$443.08	$89.17
81003 Automated urinalysis test	18	18	$39.60	$2.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$528.70	$137.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	68	67	$185.00	$51.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	48	$483.51	$104.44
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$360.43	$74.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	19	$385.00	$11.38
81003 Automated urinalysis test	17	16	$39.60	$2.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$443.08	$92.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$90.00	$61.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$130.00	$88.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	12	$35.00	$11.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0696 Injection, ceftriaxone sodium, per 250 mg	216	39	$8.01	$0.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	131	63	$35.00	$13.08
G0008 Administration of influenza virus vaccine	111	111	$35.00	$15.51
90756 Vaccine for influenza for injection into muscle	111	111	$30.00	$26.13
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	106	38	$10.00	$6.69
J1885 Injection, ketorolac tromethamine, per 15 mg	104	18	$15.00	$0.52
99213 Established patient office or other outpatient visit, typically 15 minutes	101	68	$90.00	$60.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	50	$130.00	$86.01
36415 Insertion of needle into vein for collection of blood sample	38	16	$28.00	$2.94
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	14	$40.00	$16.22
81002 Urinalysis, manual test	24	20	$28.00	$3.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$140.00	$88.22
69210 Removal of impacted ear wax	12	11	$97.50	$38.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$200.00	$134.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0696 Injection, ceftriaxone sodium, per 250 mg	228	41	$8.00	$0.61
99213 Established patient office or other outpatient visit, typically 15 minutes	144	98	$90.00	$57.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	120	59	$35.00	$15.62
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	106	46	$10.00	$6.99
G0008 Administration of influenza virus vaccine	99	98	$35.00	$18.93
90756 Vaccine for influenza for injection into muscle	98	98	$30.00	$22.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	39	$130.00	$85.16
J1885 Injection, ketorolac tromethamine, per 15 mg	44	11	$15.00	$0.57
87804 Detection test by immunoassay with direct visual observation for influenza virus	44	21	$40.00	$16.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$140.00	$86.22
36415 Insertion of needle into vein for collection of blood sample	30	22	$28.00	$2.94
81002 Urinalysis, manual test	27	17	$28.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$200.00	$131.35
69210 Removal of impacted ear wax	15	15	$144.00	$38.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0696 Injection, ceftriaxone sodium, per 250 mg	220	45	$8.00	$0.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	148	78	$35.00	$19.51
99213 Established patient office or other outpatient visit, typically 15 minutes	143	96	$90.00	$57.84
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	127	52	$10.00	$7.07
J1885 Injection, ketorolac tromethamine, per 15 mg	112	23	$15.00	$0.63
G0008 Administration of influenza virus vaccine	108	106	$25.19	$23.25
Q2039 Influenza virus vaccine, not otherwise specified	88	88	$34.89	$22.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$140.00	$86.00
87804 Detection test by immunoassay with direct visual observation for influenza virus	51	25	$39.22	$16.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	33	$130.00	$85.29
81002 Urinalysis, manual test	32	17	$28.00	$3.43
36415 Insertion of needle into vein for collection of blood sample	32	18	$28.00	$2.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$200.00	$131.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$56.00	$34.15
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	14	14	$29.64	$17.24

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License LA RN073140

(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

Lsu Health Sciences Center Shreveport Faculty Group Practice

1541 Kings Hwy, Shreveport, LA 711034228

Phone: 3186755000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Pamela Hearn , MD

Family Medicine

NPI 1215126834

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 February 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 18, 2016

Registered at 765 S BONNER ST, RUSTON, LA 712705801 (Tel: 3182025935)

📍

Updated Business Mailing Address February 18, 2016

Registered at PO BOX 1839, RUSTON, LA 712731839 (Tel: 3182025935)

👤

Provider Name / Credentials Updated February 18, 2016

Recorded as WANDA SULLIVAN, RN

🎓

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

Nurse Practitioner (License #RN073140 in LA)

🟢

Initial NPI Registration & Enumeration October 17, 2006

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: 1740360353

Entity Type:

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

Enumeration Date: October 17, 2006

Last Update: February 18, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1839

Ruston, LA 712731839

Phone: 3182025935

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.