Active NPI 1093122475 Individual Practitioner Female Practitioner

Jennifer Sullivan , CNP

Nurse Practitioner • Auburn, ME

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jennifer Sullivan, CNP is a certified Nurse Practitioner practicing in Auburn, ME. With approximately 12 years of clinical experience since completing medical education in 2014, Jennifer Sullivan delivers high-quality medical care to the local community at 15 GRACELAWN RD STE 203.

Jennifer Sullivan is affiliated with St Marys Regional Medical Center and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15 Gracelawn Rd Ste 203

Auburn, ME 042106344

Telephone 2077778959

Fax 2077533093

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Auburn, ME

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs Matches City Avg

City Avg: 12.0 Yrs

State Avg: 12.8 Yrs

Regional Practice Density

7 Specialists

Practicing in Auburn, ME (460 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

40.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (12 Years) 12 Yrs

Auburn Specialty Average (12.0 Years) 12.0 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	78	64	$128.68	$81.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	32	$206.41	$120.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$127.00	$79.04
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$65.00	$55.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$221.92	$111.21

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	76	67	$132.38	$79.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	25	$213.83	$116.72
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$65.00	$53.78
99443 Telephone medical discussion with physician, 21-30 minutes	23	18	$203.00	$79.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$225.00	$108.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$345.00	$147.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$65.00	$54.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	31	$128.00	$80.56
99443 Telephone medical discussion with physician, 21-30 minutes	33	29	$203.00	$80.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$210.00	$119.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$225.00	$110.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes	113	84	$203.00	$82.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$128.00	$82.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$210.00	$121.39
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$65.00	$55.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1602 Injection, golimumab, 1 mg, for intravenous use	3,700	13	$79.78	$20.31
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	3,650	19	$147.18	$45.63
J1745 Injection, infliximab, excludes biosimilar, 10 mg	2,350	32	$397.98	$56.23
96413 Infusion of chemotherapy into a vein up to 1 hour	134	78	$277.66	$104.80
99443 Telephone medical discussion with physician, 21-30 minutes	61	51	$203.00	$66.42
96415 Administration of chemotherapy into vein, each additional hour	49	32	$133.29	$24.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$78.00	$66.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1602 Injection, golimumab, 1 mg, for intravenous use	8,270	19	$79.77	$21.31
J1745 Injection, infliximab, excludes biosimilar, 10 mg	4,310	36	$397.31	$61.25
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	4,225	21	$146.77	$53.35
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent	434	169	$30.00	$7.67
96413 Infusion of chemotherapy into a vein up to 1 hour	208	83	$277.25	$111.16
96415 Administration of chemotherapy into vein, each additional hour	88	36	$133.00	$24.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	51	$134.38	$65.40
99213 Established patient office or other outpatient visit, typically 15 minutes	51	51	$72.75	$42.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent	1,434	196	$30.00	$7.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	188	$134.25	$64.48
99213 Established patient office or other outpatient visit, typically 15 minutes	187	158	$72.75	$42.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent	818	160	$29.78	$7.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	116	$134.25	$64.12
99213 Established patient office or other outpatient visit, typically 15 minutes	114	102	$73.29	$41.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	38	$90.00	$34.93
99284 Emergency department visit with moderate level of medical decision making	13	13	$399.00	$96.13
99283 Emergency department visit with low level of medical decision making	12	12	$341.50	$50.74
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$120.00	$58.91

Medical Specialties & State Licenses

CMS Verified: 2020-08-10

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ME CNP141034

(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

St Marys Regional Medical Center

15 Gracelawn Rd, Auburn, ME 042106344

Phone: 2077778959

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Thaddeus Shattuck , MD

Psychiatry & Neurology - Psychiatry

NPI 1285798447

Doctor of Medicine (M.D.)

Dr. Ralph Harder , MD

Internal Medicine - Pulmonary Disease

NPI 1528094885

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location August 10, 2020

Registered at 15 GRACELAWN RD STE 203, AUBURN, ME 042106344 (Tel: 2077778959)

📍

Updated Business Mailing Address August 10, 2020

Registered at C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 042437291 (Tel: 2077778950)

✅

NPI Profile Active August 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2017

Registered at 10 HIGH ST STE 103, LEWISTON, ME 042407640 (Tel: (207) 795-2310)

📍

Updated Business Mailing Address August 15, 2017

Registered at 10 HIGH STREET, SUITE 103, LEWISTON, ME 04240 (Tel: (207) 795-2310)

👤

Provider Name / Credentials Updated August 15, 2017

Recorded as JENNIFER SULLIVAN, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2017

Nurse Practitioner (License #CNP141034 in ME)

✅

NPI Profile Active October 29, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 29, 2015

Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2077950111)

📍

Updated Business Mailing Address October 29, 2015

Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2077950111)

👤

Provider Name / Credentials Updated October 29, 2015

Recorded as JENNIFER SULLIVAN, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2015

Nurse Practitioner (License #CNP141034 in ME)

🟢

Initial NPI Registration & Enumeration July 17, 2014

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: 1093122475

Entity Type:

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

Enumeration Date: July 17, 2014

Last Update: August 10, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

C/o St Marys Health System - Provider Enrollment, Po Box 7291

Lewiston, ME 042437291

Phone: 2077778950

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.