Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841112166 Individual Practitioner Female Practitioner

Kelly Mary Sullivan

Nurse Practitioner • Beverly, MA

Professional Overview & Biography Verified Profile Summary

Kelly Sullivan is a registered healthcare professional specializing in Nurse Practitioner in Beverly, MA. Practice services are available at 195 DODGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

195 Dodge St

Beverly, MA 019151244

Telephone 9785788768

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Beverly, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
22 Specialists

Practicing in Beverly, MA (3545 Statewide)

Telehealth Adoption Rate
27.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN2348656

(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.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License MA RN2348656

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 02, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2026

Registered at 195 DODGE ST, BEVERLY, MA 019151244 (Tel: 9785788768)

📍
Updated Business Mailing Address August 02, 2026

Registered at 195 DODGE ST, BEVERLY, MA 019151244 (Tel: 9785788768)

👤
Provider Name / Credentials Updated August 02, 2026

Recorded as KELLY SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2026

Nurse Practitioner (License #RN2348656 in MA)

🟢
Initial NPI Registration & Enumeration July 28, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1841112166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2026
Last Update: August 02, 2026
Sole Proprietor: Yes

Mailing Address

195 Dodge St

Beverly, MA 019151244

Phone: 9785788768

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.